Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
LARISA ILYUTOVICH
Active Sole ProprietorLARISA ILYUTOVICH is a General Dentistry healthcare provider located in FORT LEE, New Jersey. NPI 1780033225 is currently active in the NPPES registry. Verify at CMS.
General Dentistry · FORT LEE, NJ
Registration Details
- NPI Number
- 1780033225
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 6, 2016 (10.201785012258 yrs)
- Last Updated
- Jun 6, 2016
- License
-
DI020299 (NJ)
- Sole Proprietor
- Yes
Practice Information
- Address
-
301 BRIDGE PLZ NSUITE 2FORT LEE, NJ, 070245059Browse NJ providers · Browse ZIP 07024
- Phone
- 2013464660
- Fax
- 2013461116
- Primary Specialty
-
General Dentistry
1223G0001X
Other General Dentistry Providers in FORT LEE, NJ
| Name | Credential | NPI |
|---|---|---|
| DR. HOWARD STEVEN GLAZER | DDS | 1952303000 |
| DR. HARRIS J. LEVINE | DDS | 1528088481 |
| DR. DENNIS A. WALKER | D.M.D. | 1669493391 |
| DR. NANCY DIAMOND | DDS | 1922015288 |
| DR. JOEL D. SINGER | DMD | 1730196007 |
| DR. ARTHUR A SONNENBLICK | DMD | 1629184908 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.