NPI | 1811506330 |
---|---|
Doing Business As | SABO RIENEKER PORT JEFFERSON |
Entity Type | Organization |
Authorized Contact | HIRO SORIANO CIO 516-344-5746 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist |
Enumeration Date | 2020-07-30 |
Last Update Date | 2020-07-30 |