NPI | 1215764766 |
---|---|
Doing Business As | NY SMILE DESTINATION |
Entity Type | Organization |
Authorized Contact | FRANK HERAVI Owner/President 516-384-7215 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
Enumeration Date | 2024-09-18 |
Last Update Date | 2024-09-18 |