Smile Loft Fair Lawn, LLC
NPI #1184318586 in Fair Lawn, New Jersey
Provider Information
- NPI Number
- 1184318586
- Entity Type
- Organization
- Organization Name
- Smile Loft Fair Lawn, LLC
- Primary Specialty
- Dentist
- Enumeration Date
- Jun 7, 2023
- Last Updated
- Oct 10, 2023
Practice Location
- Address
- 32-16 BROADWAY STE 201
- City
- Fair Lawn
- State
- New Jersey
- ZIP Code
- 07410-4600
- Phone
- (201) 794-0440
Authorized Official
- Name
- OXANA RAYSKAYA
- Title
- DIRECTOR OF AR
- Phone
- (347) 545-2557
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist |
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