Individual provider · Type 1 NPI

Larisa Ilyutovich

General Practice Dentistry · Fort Lee, NJ

NPI number 1780033225 Active

Practice location

301 Bridge Plz N, Suite 2
Fort Lee, NJ 07024-5059

Call (201) 346-4660 Map

Fax (201) 346-1116

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001XDI020299 (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 1780033225

Larisa Ilyutovich's National Provider Identifier is 1780033225, issued on Jun 6, 2016. 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 Jun 6, 2016.