| NPI | 1073993218 |
|---|---|
| Other Name | CENTER FOR COSMETIC DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | MITCHELL N SHAPIRO Owner 631-265-2700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: NY 036755) |
| Enumeration Date | 2015-06-03 |
| Last Update Date | 2015-06-03 |