| NPI | 1053482067 |
|---|---|
| Doing Business As | SUNY STONY BROOK SCHOOL OF DENTAL MEDICINE |
| Entity Type | Organization |
| Authorized Contact | CAROL SLOANE Asst. Dean Clinic Operations 631-632-8966 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 122300000X Dentist (Licence: NY 377821) |
| Enumeration Date | 2006-11-13 |
| Last Update Date | 2018-08-03 |