| NPI | 1215860325 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARESSA MISTRETTA Owner/ Managing Member 631-278-3500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry |
| Enumeration Date | 2026-06-08 |
| Last Update Date | 2026-06-08 |