| Sophia Manolis Dds P.c. | |
|
602 Main St Port Jefferson NY 11777-2203 | |
| (631) 473-1511 | |
| (631) 473-0605 |
| Full Name | Sophia Manolis Dds P.c. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 602 Main St, Port Jefferson, New York |
| Authorized Official Name and Position | Danamarie Kramer (OFFICE MANAGER) |
| Authorized Official Contact | 6314731511 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sophia Manolis Dds P.c. 602 Main St Port Jefferson NY 11777-2203 Ph: (631) 473-1511 | Sophia Manolis Dds P.c. 602 Main St Port Jefferson NY 11777-2203 Ph: (631) 473-1511 |
| NPI Number | 1528725272 |
|---|---|
| Provider Enumeration Date | 11/17/2021 |
| Last Update Date | 11/17/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528725272 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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