Kiddsmiles Pllc

NPI 1073729794 - Clinic/Center - 261QD0000X

NPI Details
NPI 1073729794
Enumeration Date 05/16/2007
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name MICHELE MICHELE
Position SR DENTIST
Phone (516) 365-5439
Fax (516) 365-5469
Practice Location
1201 NORTHERN BLVD
MANHASSET NY, 11030, US
Phone (516) 365-5439
Fax (516) 365-5469
Business Location
1201 NORTHERN BLVD
SUITE 102
MANHASSET NY, 11030, US
Phone (516) 365-5439
Fax (516) 365-5469
Toxanomy
Taxonomy Code 261QD0000X
License State New York
License Number 0514621
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According to our database, Kiddsmiles Pllc NPI is 1073729794, taxonomy code is 261QD0000X and license number is 0514621, license state is located at New York. Kiddsmiles Pllc physically located at 1201 Northern Blvd, Manhasset NY, 11030. NPI Number 1033115704 has the healthcare provider type.

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1073729794 NPI number is provided on an as is basis without warranty of any kind. 1073729794 is maintained by the National Plan & Provider Enumeration System. The contents of Kiddsmiles Pllc are for informational purposes only.