| NPI | 1063272136 |
|---|---|
| Doing Business As | LI SMILE DESIGN DENTISTRY PC |
| Entity Type | Organization |
| Authorized Contact | PORFIRIO A NUNEZ Owner/Dentist 631-388-5967 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2024-03-19 |
| Last Update Date | 2024-03-19 |