| Pediatric Dentistry Of Suffolk County Ii | |
|
3237 Route 112 Building #6 Suite 7b Medford NY 11763-1424 | |
| (631) 320-0880 | |
| (631) 320-3165 |
| Full Name | Pediatric Dentistry Of Suffolk County Ii |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 3237 Route 112, Medford, New York |
| Authorized Official Name and Position | Christos A Ioannou (PEDIATRIC DENTIST) |
| Authorized Official Contact | 6313200880 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pediatric Dentistry Of Suffolk County Ii 3237 Route 112 Building #6 Suite 7b Medford NY 11763-1424 Ph: (631) 320-0880 | Pediatric Dentistry Of Suffolk County Ii 3237 Route 112 Building #6 Suite 7b Medford NY 11763-1424 Ph: (631) 320-0880 |
| NPI Number | 1245527381 |
|---|---|
| Provider Enumeration Date | 07/08/2011 |
| Last Update Date | 07/08/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245527381 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
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