| Your Smile Dental Of Riverhead | |
|
177 Old Country Rd Ste 1 Riverhead NY 11901-2102 | |
| (631) 462-0300 | |
| Not Available |
| Full Name | Your Smile Dental Of Riverhead |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 177 Old Country Rd Ste 1, Riverhead, New York |
| Authorized Official Name and Position | Victor Katsman (OWNER) |
| Authorized Official Contact | 5163027372 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Your Smile Dental Of Riverhead 6040 Jericho Tpke Commack NY 11725-2806 Ph: (631) 462-0300 | Your Smile Dental Of Riverhead 177 Old Country Rd Ste 1 Riverhead NY 11901-2102 Ph: (631) 462-0300 |
| NPI Number | 1366979775 |
|---|---|
| Provider Enumeration Date | 05/16/2017 |
| Last Update Date | 05/16/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366979775 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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