NPI | 1881966604 |
---|---|
Doing Business As | STONY BROOK ORTHODONTICS |
Entity Type | Organization |
Authorized Contact | NADAV SEGAL Doctor 631-675-2700 |
Organization Subpart ? | No |
Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: NY 052525) |
Enumeration Date | 2012-02-09 |
Last Update Date | 2012-02-09 |