| Smile Li Dentistry Llc | |
|
525 Wanaque Ave Ste 101 Pompton Lakes NJ 07442-1843 | |
| (646) 287-9300 | |
| Not Available |
| Full Name | Smile Li Dentistry Llc |
|---|---|
| Speciality | Durable Medical Equipment & Medical Supplies - Customized Equipment |
| Location | 525 Wanaque Ave, Pompton Lakes, New Jersey |
| Authorized Official Name and Position | Yan Li (OWNER) |
| Authorized Official Contact | 6462879300 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Smile Li Dentistry Llc 8 Sgt Hartz Dr Tappan NY 10983-1813 Ph: (646) 287-9300 | Smile Li Dentistry Llc 525 Wanaque Ave Ste 101 Pompton Lakes NJ 07442-1843 Ph: (646) 287-9300 |
| NPI Number | 1457899379 |
|---|---|
| Provider Enumeration Date | 02/11/2017 |
| Last Update Date | 02/14/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457899379 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 22DI02496000 (New Jersey) | Secondary |
| 332BC3200X | Durable Medical Equipment & Medical Supplies - Customized Equipment | 22DI02496000 (New Jersey) | Primary |
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