| NPI | 1265264337 |
|---|---|
| Doing Business As | SOUTH SHORE PROSTHODONTICS |
| Entity Type | Organization |
| Authorized Contact | JUNAID RAJANI Dentist 631-598-2368 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Additional Taxonomies | 1223P0700X Dentist, Prosthodontics |
| Enumeration Date | 2024-08-16 |
| Last Update Date | 2024-08-16 |