| Simply Smiles Dental Py Ty Pllc | |
|
297 Main St Farmingdale NY 11735-3589 | |
| (516) 756-0111 | |
| Not Available |
| Full Name | Simply Smiles Dental Py Ty Pllc |
|---|---|
| Speciality | Dentist |
| Location | 297 Main St, Farmingdale, New York |
| Authorized Official Name and Position | Peter Yelizar (OWNER) |
| Authorized Official Contact | 5167560111 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Simply Smiles Dental Py Ty Pllc 297 Main St Farmingdale NY 11735-3589 Ph: (516) 756-0111 | Simply Smiles Dental Py Ty Pllc 297 Main St Farmingdale NY 11735-3589 Ph: (516) 756-0111 |
| NPI Number | 1548852650 |
|---|---|
| Provider Enumeration Date | 02/09/2021 |
| Last Update Date | 02/09/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548852650 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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