| Smile House Dental P.c. | |
|
3538 Junction Blvd Corona NY 11368-1775 | |
| (347) 831-7474 | |
| Not Available |
| Full Name | Smile House Dental P.c. |
|---|---|
| Speciality | Dentist |
| Location | 3538 Junction Blvd, Corona, New York |
| Authorized Official Name and Position | Daniel Khodorkovsky (PRESIDENT) |
| Authorized Official Contact | 3475660219 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Smile House Dental P.c. 3538 Junction Blvd Corona NY 11368-1775 Ph: (347) 831-7474 | Smile House Dental P.c. 3538 Junction Blvd Corona NY 11368-1775 Ph: (347) 831-7474 |
| NPI Number | 1780403444 |
|---|---|
| Provider Enumeration Date | 10/09/2024 |
| Last Update Date | 01/16/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780403444 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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