GEORGIA SMILE

BAY SHORE, NY
NPI1205130580
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy163W00000X Registered Nurse
(Licence: NY  635946)
Enumeration Date2010-12-31
Last Update Date2010-12-31
Business Address
-- GEORGIA SMILE
12 W LAKELAND ST
BAY SHORE, NY 11706-2622
Phone number: 631-682-2576
Mailing Address
-- GEORGIA SMILE
12 W LAKELAND ST
BAY SHORE, NY 11706-2622
Phone number: 631-682-2576
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