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Search › New Jersey › General Practice Dentistry

Larisa Ilyutovich

NPI 1780033225 · on the registry since 2016 · sole proprietor

Practice

Address
301 Bridge Plz N
Suite 2
Fort Lee, NJ 07024
Phone
(201) 346-4660
Fax
(201) 346-1116
Organisation at this address
Bridge Opticians, Llc
Seligman Rosenbergm.D.
Hackensack Meridian Outpatient Services, Inc.
The New Jersey Center For Ear, Nose And Throat Disorders, P.C.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
14

Registry record

Primary taxonomy
General Practice Dentistry
1223G0001X
Licence states on file
NJ
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2016-06-06

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New Jersey