| NPI | 1740166677 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIN DIAMANTAKIS Owner/Orthodontist 516-518-7335 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2025-08-14 |
| Last Update Date | 2025-08-14 |