| Dazzling Smile Dental Group Of Port Washington, Pllc | |
|
139 Main St Port Washington NY 11050-2801 | |
| (516) 636-5757 | |
| Not Available |
| Full Name | Dazzling Smile Dental Group Of Port Washington, Pllc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 139 Main St, Port Washington, New York |
| Authorized Official Name and Position | Armin Lalehzari (OWNER) |
| Authorized Official Contact | 7182257645 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dazzling Smile Dental Group Of Port Washington, Pllc 139 Main St Port Washington NY 11050-2801 Ph: (516) 636-5757 | Dazzling Smile Dental Group Of Port Washington, Pllc 139 Main St Port Washington NY 11050-2801 Ph: (516) 636-5757 |
| NPI Number | 1760235568 |
|---|---|
| Provider Enumeration Date | 04/10/2024 |
| Last Update Date | 04/10/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760235568 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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