| NPI | 1528725272 |
|---|---|
| Doing Business As | PORT JEFFERSON DENTAL GROUP |
| Entity Type | Organization |
| Authorized Contact | DANAMARIE KRAMER Office Manager 631-473-1511 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2021-11-17 |
| Last Update Date | 2021-11-17 |