Organization · Type 2 NPI

Larisa Ilyutovich DDS PC

General Practice Dentistry · Fort Lee, NJ

NPI number 1609954064 Active

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.