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 |