| NPI | 1679846687 |
|---|---|
| Doing Business As | PORT JEFFERSON SMILES |
| Entity Type | Organization |
| Authorized Contact | KARYN M HALPERN President 631-928-1300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NY 050590) |
| Enumeration Date | 2012-02-22 |
| Last Update Date | 2012-02-22 |