Lifetime Smiles LLC

NPI #1912531534 in Roselle Park, New Jersey

Provider Information

NPI Number: 1912531534
Entity Type: Organization
Organization Name: Lifetime Smiles LLC
Primary Specialty: Dentist
Enumeration Date: Feb 24, 2020
Last Updated: Feb 24, 2020

Practice Location

Address: 205 W WESTFIELD AVE
City: Roselle Park
State: New Jersey
ZIP Code: 07204-1818
Phone: (908) 245-1745

Authorized Official

Name: YAMIZEL MELGAREJO-ROSALES
Title: OFFICE MANAGER
Phone: (908) 245-1745

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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