| NPI | 1528864170 |
|---|---|
| Doing Business As | SUPERSMILES PEDIATRIC DENTISTRY I |
| Entity Type | Organization |
| Authorized Contact | CHRISTINE BRANIGAN Admin 631-451-7700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry |
| Enumeration Date | 2025-02-24 |
| Last Update Date | 2025-02-24 |