| NPI | 1730951633 |
|---|---|
| Doing Business As | SUPERSMILES PEDIATRIC DENTISTRY II |
| Entity Type | Organization |
| Authorized Contact | PARASKEVAS KOURTSOUNIS Managing Partner 631-451-7700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry |
| Enumeration Date | 2023-10-24 |
| Last Update Date | 2023-10-24 |