Larisa Ilyutovich DDS PC
Larisa Ilyutovich DDS PC is a General Practice Dentistry in Fort Lee, New Jersey. Licensed in New Jersey. Registered with an NPI since 2006.
- Licensed in
- NJ
- In the registry since
- 2006
What do these letters mean?
- PC — Professional corporation
- A form of business registration, not a clinical qualification.
Practice location Address checks out
301 Bridge Plaza North 2nd FlrFort Lee, NJ 07024
Phone: (201) 346-4660
Fax: (201) 346-1116
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| General Practice Dentistry (primary) | Taxonomy 1223G0001X · Licence DI020299 (NJ) |
|---|
Record details
| NPI number | 1609954064 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Larisa Ilyutovich — President Owner · (201) 346-4660 |
| NPI enumerated | November 2, 2006 |
| Last updated in NPPES | August 22, 2020 |
| Mailing address | 301 Bridge Plaza North, 2nd Flr, Fort Lee, NJ 07024 |
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