| Smiles On Wellwood | |
|
764 Wellwood Ave Lindenhurst NY 11757-1606 | |
| (631) 957-2211 | |
| Not Available |
| Full Name | Smiles On Wellwood |
|---|---|
| Speciality | Dentist |
| Location | 764 Wellwood Ave, Lindenhurst, New York |
| Authorized Official Name and Position | Manisha Suri (OWNER) |
| Authorized Official Contact | 6319572211 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Smiles On Wellwood 764 Wellwood Ave Lindenhurst NY 11757-1606 Ph: (631) 957-2211 | Smiles On Wellwood 764 Wellwood Ave Lindenhurst NY 11757-1606 Ph: (631) 957-2211 |
| NPI Number | 1649714692 |
|---|---|
| Provider Enumeration Date | 12/10/2016 |
| Last Update Date | 12/10/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649714692 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 054438 (New York) | Primary |
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