institution
Larisa Ilyutovich Dds Pc
General Practice Dentistry in Fort Lee, New Jersey
NPI 1609954064

Larisa Ilyutovich Dds Pc is a General Practice Dentistry based in Fort Lee, NJ and is specialized in General Practice. Larisa Ilyutovich Dds Pc practices in Fort Lee, NJ. The NPI Number for Larisa Ilyutovich Dds Pc is 1609954064 and holds a License No. DI020299 (New Jersey).

The current practice location address for Larisa Ilyutovich Dds Pc is 301 Bridge Plaza North, Fort Lee, NJ and can be reached out via phone at 201-346-4660 and via fax at 201-346-1116. You can also correspond with Larisa Ilyutovich Dds Pc through the mailing address at 301 BRIDGE PLAZA NORTH, FORT LEE, NJ - 07024 (mailing address contact number: 201-346-4660).

Location: 301 Bridge Plaza North, Fort Lee, NJ, 07024
institution
Provider Profile Details
NPI Number
1609954064
Provider Name
Larisa Ilyutovich Dds Pc
Credential
Provider Entity Type
Organization
Address
301 Bridge Plaza North, Fort Lee, NJ, 07024
Phone Number
201-346-4660
Fax Number
201-346-1116
Provider Enumeration Date
11/02/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
8797404 05 NJ
institution
Provider Business Practice Location Address Details
Address
301 Bridge Plaza North
City
State
Zip
07024
Phone Number
201-346-4660
Fax Number
201-346-1116
person
Provider Business Mailing Address Details
Address
301 Bridge Plaza North
City
State
Zip
07024
Phone Number
201-346-4660
Fax Number
201-346-1116
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
License No.
DI020299 (New Jersey)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
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