| NPI | 1821622127 |
|---|---|
| Doing Business As | CONCERNED DENTAL CARE OF PORT JEFFERSON |
| Entity Type | Organization |
| Authorized Contact | AMY CADIEUX Reg. Mgr 413-382-7022 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 122300000X Dentist |
| Enumeration Date | 2020-02-25 |
| Last Update Date | 2020-02-25 |