| A Smile Dentistry | |
|
15-01 Broadway Ste 18 Fair Lawn NJ 07410-6018 | |
| (201) 797-8100 | |
| Not Available |
| Full Name | A Smile Dentistry |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 15-01 Broadway Ste 18, Fair Lawn, New Jersey |
| Authorized Official Name and Position | Lon J Rosen (OWNER) |
| Authorized Official Contact | 2017978100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| A Smile Dentistry 15-01 Broadway Ste 18 Fair Lawn NJ 07410-6018 Ph: (201) 797-8100 | A Smile Dentistry 15-01 Broadway Ste 18 Fair Lawn NJ 07410-6018 Ph: (201) 797-8100 |
| NPI Number | 1841312261 |
|---|---|
| Provider Enumeration Date | 04/05/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841312261 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 22DI01439000 (New Jersey) | Primary |
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