| NPI | 1316467269 |
|---|---|
| Doing Business As | PORT CHESTER KID SMILES |
| Doing Business As | TAPPAN ZEE KID SMILES |
| Entity Type | Organization |
| Authorized Contact | ROSSARIN MITSUMOTO Owner 914-332-1272 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry |
| Enumeration Date | 2017-06-21 |
| Last Update Date | 2018-06-16 |