| NPI | 1083898183 |
|---|---|
| Doing Business As | STONY BROOK GENERAL & COSMETIC DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | KEITH V WATKINS Owner/Dentist 631-689-3226 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: NY 034701) |
| Enumeration Date | 2007-12-26 |
| Last Update Date | 2007-12-26 |