Organization
DS DENTAL ARTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DMITRY STILLMAN DDS (OWNER)
(201) 945-1119
Entity
Organization
Contact information
Practice address
634 ANDERSON AVENUE, CLIFFSIDE PARK, NJ 07010
(201) 386-0353
Mailing address
634 ANDERSON AVE, CLIFFSIDE PARK, NJ 07010-1811
(201) 386-0353
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
22DI0199090
NJ
Other
Enumeration date
10/16/2008
Last updated
10/16/2008
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