| Dental 365 | |
|
217 Portion Rd Ronkonkoma NY 11779-2341 | |
| (631) 588-4860 | |
| Not Available |
| Full Name | Dental 365 |
|---|---|
| Speciality | Dentist |
| Location | 217 Portion Rd, Ronkonkoma, New York |
| Authorized Official Name and Position | Hiro Soriano (CIO) |
| Authorized Official Contact | 6315884860 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dental 365 217 Portion Rd Ronkonkoma NY 11779-2341 Ph: (631) 588-4860 | Dental 365 217 Portion Rd Ronkonkoma NY 11779-2341 Ph: (631) 588-4860 |
| NPI Number | 1497293336 |
|---|---|
| Provider Enumeration Date | 02/10/2017 |
| Last Update Date | 02/10/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497293336 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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