DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

LARISA ILYUTOVICH DDS PC

Active Organization

LARISA ILYUTOVICH DDS PC is a General Dentistry organization located in FORT LEE, New Jersey. NPI 1609954064 is currently active in the NPPES registry. Verify at CMS.

General Dentistry · FORT LEE, NJ

Registration Details

NPI Number
1609954064
Provider Type
Organization
NPI Issued
Nov 2, 2006 (19.743158756562 yrs)
Last Updated
Aug 22, 2020
License
DI020299 (NJ)

Practice Information

Address
301 BRIDGE PLAZA NORTH
2ND FLR
FORT LEE, NJ, 07024
Browse NJ providers · Browse ZIP 07024
Phone
2013464660
Fax
2013461116
Primary Specialty
General Dentistry
1223G0001X

Other General Dentistry Organizations in FORT LEE, NJ

Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.