Dr. Chris' Small Smiles Pediatric Dentistry | |
215 Hallock Rd Suite 2 Stony Brook NY 11790-3078 | |
(631) 762-9910 | |
Not Available |
Full Name | Dr. Chris' Small Smiles Pediatric Dentistry |
---|---|
Speciality | Dentist - Pediatric Dentistry |
Location | 215 Hallock Rd, Stony Brook, New York |
Authorized Official Name and Position | Christos Ioannou (OWNER) |
Authorized Official Contact | 5167612938 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Dr. Chris' Small Smiles Pediatric Dentistry 215 Hallock Rd Suite 2 Stony Brook NY 11790-3078 Ph: (631) 762-9910 | Dr. Chris' Small Smiles Pediatric Dentistry 215 Hallock Rd Suite 2 Stony Brook NY 11790-3078 Ph: (631) 762-9910 |
NPI Number | 1942543210 |
---|---|
Provider Enumeration Date | 04/04/2013 |
Last Update Date | 04/04/2013 |
Identifier | Type | State | Issuer |
---|---|---|---|
1942543210 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223P0221X | Dentist - Pediatric Dentistry | 053189 (New York) | Primary |
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