I-smile Braces, Pllc

NPI 1164817870 - Dentist - 1223X0400X

NPI Details
NPI 1164817870
Enumeration Date 03/31/2015
Last Updated 03/31/2015
Entity Type Healthcare Provider
Active Over 1 year ago
Authorized Information
Name CHANDRA CHANDRA
Position ORTHODONTIST
Phone (631) 581-6565
Fax (631) 581-6574
Practice Location
150 ISLIP AVE
SUITE 3
ISLIP NY, 11751-3222, US
Phone (631) 581-6565
Fax (631) 581-6574
Business Location
150 ISLIP AVE
SUITE 3
ISLIP NY, 11751-3222, US
Phone (631) 581-6565
Fax (631) 581-6574
Toxanomy
Taxonomy Code 1223X0400X
License State New York
License Number 054700-1
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According to our database, I-smile Braces, Pllc NPI is 1164817870, taxonomy code is 1223X0400X and license number is 054700-1, license state is located at New York. I-smile Braces, Pllc physically located at 150 Islip Ave, Islip NY, 11751-3222. NPI Number 1033115704 has the healthcare provider type.

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1164817870 NPI number is provided on an as is basis without warranty of any kind. 1164817870 is maintained by the National Plan & Provider Enumeration System. The contents of I-smile Braces, Pllc are for informational purposes only.