Larisa Ilyutovich DDS PC
NPI #1609954064 in Fort Lee, New Jersey
Provider Information
- NPI Number
- 1609954064
- Entity Type
- Organization
- Organization Name
- Larisa Ilyutovich DDS PC
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Nov 2, 2006
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 301 BRIDGE PLAZA NORTH
- Address 2
- 2ND FLR
- City
- Fort Lee
- State
- New Jersey
- ZIP Code
- 07024
- Phone
- (201) 346-4660
Authorized Official
- Name
- MRS. LARISA ILYUTOVICH, DDS
- Title
- PRESIDENT OWNER
- Phone
- (201) 346-4660
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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