| NPI | 1033673033 |
|---|---|
| Doing Business As | SURF SMILES FAMILY DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | MADELINE LEAH WARNER Owner Doctor 631-275-8501 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Enumeration Date | 2019-01-24 |
| Last Update Date | 2019-01-24 |