Braces And Smiles | |
71-06 110th St Suite 1g Forest Hills NY 11375-4564 | |
(718) 268-3666 | |
(718) 268-7785 |
Full Name | Braces And Smiles |
---|---|
Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
Location | 71-06 110th St Suite 1g, Forest Hills, New York |
Authorized Official Name and Position | Brian I Lee (OWNER) |
Authorized Official Contact | 7182683666 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Braces And Smiles 10850 71st Ave Ste 1g Forest Hills NY 11375-4524 Ph: (718) 268-3666 | Braces And Smiles 71-06 110th St Suite 1g Forest Hills NY 11375-4564 Ph: (718) 268-3666 |
NPI Number | 1275941494 |
---|---|
Provider Enumeration Date | 07/31/2014 |
Last Update Date | 10/29/2014 |
Identifier | Type | State | Issuer |
---|---|---|---|
1275941494 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 057134 (New York) | Primary |
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