| NPI | 1205590510 |
|---|---|
| Doing Business As | HUNTERSVILLE SMILES |
| Entity Type | Organization |
| Authorized Contact | MATTHEW PHILIP GIDALY Owner/Partner 516-848-6762 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2021-10-25 |
| Last Update Date | 2021-10-25 |