Smilist Dental of New Jersey LLC
NPI #1376053389 in Garwood, New Jersey
Provider Information
- NPI Number
- 1376053389
- Entity Type
- Organization
- Organization Name
- Smilist Dental of New Jersey LLC
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Oct 4, 2017
- Last Updated
- Oct 4, 2017
Practice Location
- Address
- 305 SOUTH AVE
- City
- Garwood
- State
- New Jersey
- ZIP Code
- 07027-1343
- Phone
- (516) 439-4756
Authorized Official
- Name
- JAY KHORSANDI, DDS
- Title
- MEMBER
- Phone
- (516) 439-4756
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist |
| Dentist - General Practice — General Practice |
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