| NPI | 1487123543 |
|---|---|
| Doing Business As | GLEN COVE ORTHODONTICS |
| Entity Type | Organization |
| Authorized Contact | HIRO SORIANO Chief Insurance Officer 516-344-5746 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2018-11-19 |
| Last Update Date | 2018-11-19 |