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1144608936
SMITH HAVEN DENTISTRY, PLLC
LAKE GROVE, NY
NPI
1144608936
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Entity Type
Organization
Authorized Contact
THOMAS R DOUGLAS
Sole Member
631-588-3636
Organization Subpart ?
No
Primary Taxonomy
261QD0000X Clinic/Center, Dental
Enumeration Date
2015-05-12
Last Update Date
2015-05-12
Business Address
SMITH HAVEN DENTISTRY, PLLC
2233 NESCONSET HWY STE #101
LAKE GROVE, NY 11755-1000
Phone number: 631-588-3636
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Mailing Address
SMITH HAVEN DENTISTRY, PLLC
2233 NESCONSET HWY STE #101
LAKE GROVE, NY 11755-1000
Phone number: 631-588-3636
Copy
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