| NPI | 1164129870 |
|---|---|
| Other Name | GRACE DENTAL SUITES |
| Entity Type | Organization |
| Authorized Contact | DEONAH JOY CACCIATORE Office Manager 631-619-0010 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Enumeration Date | 2023-02-13 |
| Last Update Date | 2023-02-13 |