Organization · Type 2 NPI
Larisa Ilyutovich DDS PC
General Practice Dentistry · Fort Lee, NJ
NPI number
1609954064
Active
Practice location
301 Bridge Plaza North, 2nd Flr
Fort Lee, NJ 07024
Fax (201) 346-1116
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Dentistry Primary | 1223G0001X | DI020299 (NJ) |
General Practice Dentistry: 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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About NPI 1609954064
Larisa Ilyutovich DDS PC's National Provider Identifier is 1609954064, issued on Nov 2, 2006. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Fort Lee, NJ. The record was last updated on Aug 22, 2020.