| Smile Family Dentist | |
|
247 E 116th St New York NY 10029-1402 | |
| (212) 410-3909 | |
| Not Available |
| Full Name | Smile Family Dentist |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 247 E 116th St, New York, New York |
| Authorized Official Name and Position | John Letizia (DENTIST) |
| Authorized Official Contact | 2124103909 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Smile Family Dentist 247 E 116th St Ground Floor New York NY 10029-1402 Ph: (212) 410-3909 | Smile Family Dentist 247 E 116th St New York NY 10029-1402 Ph: (212) 410-3909 |
| NPI Number | 1326210410 |
|---|---|
| Provider Enumeration Date | 03/28/2008 |
| Last Update Date | 07/28/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326210410 | NPI | - | NPPES |
| 9176500 | Other | NY | DORAL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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