Organization
SMILE CENTRAL PASSAIC P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT GRUNSTEIN DMD (OWNER)
(201) 658-8839
Entity
Organization
Contact information
Practice address
625 MAIN AVE, 3RD FLOOR, PASSAIC, NJ 07055-4952
(973) 574-1000
(973) 574-1001
Mailing address
625 MAIN AVE, 3RD FLOOR, PASSAIC, NJ 07055-4952
(973) 574-1000
(973) 574-1001
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
22DI02153300
NJ
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
22DI02283000
NJ
Other
Enumeration date
05/11/2009
Last updated
05/11/2009
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