| NPI | 1649714692 |
|---|---|
| Doing Business As | SMILES ON WELLWOOD |
| Entity Type | Organization |
| Authorized Contact | MANISHA SURI Owner 631-957-2211 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: NY 054438) |
| Enumeration Date | 2016-12-10 |
| Last Update Date | 2016-12-10 |