| NPI | 1235348277 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CRAIG E. SMITH Owner 631-265-3435 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: NY 051599) |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2012-02-21 |