| Asnis Dental Pllc | |
|
5225 Nesconset Hwy Ste 52 Port Jefferson Station NY 11776-2060 | |
| (631) 928-2020 | |
| (631) 414-7927 |
| Full Name | Asnis Dental Pllc |
|---|---|
| Speciality | Dentist |
| Location | 5225 Nesconset Hwy Ste 52, Port Jefferson Station, New York |
| Authorized Official Name and Position | Hiro Soriano (CIO) |
| Authorized Official Contact | 5163445746 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Asnis Dental Pllc 135 Pinelawn Rd Ste 150s Melville NY 11747-3187 Ph: (631) 414-7927 | Asnis Dental Pllc 5225 Nesconset Hwy Ste 52 Port Jefferson Station NY 11776-2060 Ph: (631) 928-2020 |
| NPI Number | 1619634649 |
|---|---|
| Provider Enumeration Date | 11/24/2021 |
| Last Update Date | 11/24/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619634649 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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