| NPI | 1932099520 |
|---|---|
| Doing Business As | SUPERSMILES PEDIATRIC DENTISTRY III |
| Entity Type | Organization |
| Authorized Contact | CHRISTINE BRANIGAN Credentialing Manager 631-451-7700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry |
| Enumeration Date | 2025-07-07 |
| Last Update Date | 2025-07-07 |