NPI | 1962033928 |
---|---|
Doing Business As | SMITHTOWN DENTAL CARE |
Entity Type | Organization |
Authorized Contact | DAVID STEVEN WIENER President 631-265-3132 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Enumeration Date | 2020-01-29 |
Last Update Date | 2020-01-29 |