| Smilecreators, P.a. | |
|
139 Main Avenue Clifton NJ 07014 | |
| (973) 471-8300 | |
| (973) 471-6662 |
| Full Name | Smilecreators, P.a. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 139 Main Avenue, Clifton, New Jersey |
| Authorized Official Name and Position | Evgeni Goriounov (PRESIDENT) |
| Authorized Official Contact | 9734718300 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Smilecreators, P.a. 139 Main Avenue Clifton NJ 07014-1707 Ph: (973) 471-8300 | Smilecreators, P.a. 139 Main Avenue Clifton NJ 07014 Ph: (973) 471-8300 |
| NPI Number | 1144435694 |
|---|---|
| Provider Enumeration Date | 05/10/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144435694 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 22DI02094100 (New Jersey) | Primary |
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