LARISA ILYUTOVICH DDS PC
Dentist in West Fort Lee, NJ

License number
New Jersey DI020299
Category
Dentist
Type
General Practice
Owner
Name: MRS. LARISA ILYUTOVICH DDS
Title: PRESIDENT OWNER
Phone: (201) 346-4660
Address
Address
301 Flr, West Fort Lee, NJ 07024
National Provider ID: 1609954064
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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LARISA ILYUTOVICH D.D.S., PC

Fort Lee, NJ

Registration:
Jan 2, 2002
State ID:
0100895042
Business type:
PA

Dentist licenses in New Jersey