NPI 1497944458

Magic Smile Dental PC

Organisation General Practice Dentistry Linden, NJ

Practice location

Address: 515 N Wood Ave Suite 101, Linden, NJ 07036-4173
Phone: (908) 486-5000
Fax: (908) 486-5006

Authorised official

Name: Yefim Khanimov
Title: Owner
Phone: (908) 486-5000

Registered specialties

General Practice Dentistry Primary

Dental Providers Taxonomy 1223G0001X Licence 23087 (NJ)

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Registry record

NPI: 1497944458
Entity type: Organization
NPI issued: 16 Oct 2007
Record last updated: 16 Oct 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.