| NPI | 1114398807 |
|---|---|
| Doing Business As | GREAT SMILES OF NY |
| Entity Type | Organization |
| Authorized Contact | JACOB AVNER Dentist/Owner 718-275-7300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NY 0496891) |
| Enumeration Date | 2015-10-07 |
| Last Update Date | 2015-10-07 |