| Smile Central Passaic P.c. | |
|
625 Main Ave 3rd Floor Passaic NJ 07055-4952 | |
| (973) 574-1000 | |
| (973) 574-1001 |
| Full Name | Smile Central Passaic P.c. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 625 Main Ave, Passaic, New Jersey |
| Authorized Official Name and Position | Robert Grunstein (OWNER) |
| Authorized Official Contact | 2016588839 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Smile Central Passaic P.c. 625 Main Ave 3rd Floor Passaic NJ 07055-4952 Ph: (973) 574-1000 | Smile Central Passaic P.c. 625 Main Ave 3rd Floor Passaic NJ 07055-4952 Ph: (973) 574-1000 |
| NPI Number | 1972737583 |
|---|---|
| Provider Enumeration Date | 05/11/2009 |
| Last Update Date | 05/11/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972737583 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 22DI02153300 (New Jersey) | Primary |
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 22DI02283000 (New Jersey) | Secondary |
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