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Provider Information for 1063736957



DR. JOSHUA A SMILOW D.M.D

Gender: MALE

Individual NPI: 1063736957

Calendar Last Updated: 2010-03-21

Details

Name Value
NPI 1063736957
Enumeration Date 2010-03-21
NPI Type 1 - Individual
Sole Proprietor YES
Status Active
Mailing Address 49A MOUNTAIN AVE
SPRINGFIELD, NJ 07081-1753
United States

Phone: 516-641-5113 | Fax:
View Map External Link
Primary Practice Address 30 PROSPECT AVE
HACKENSACK, NJ 07601-1914
United States

Phone: 201-996-2111 | Fax:
View Map External Link
Taxonomy
Primary Taxonomy Selected Taxonomy State License Number
Yes 122300000X - Dentist NJ 22DI02434600
Other Identifiers
Issuer State Number
Endpoint Information
Endpoint Type Endpoint Endpoint Description Use Content Type Affiliation Endpoint Location