| Marita Smith Dentistry, Pc | |
|
5c Medical Park Drive Pomona NY 10970 | |
| (845) 414-9626 | |
| Not Available |
| Full Name | Marita Smith Dentistry, Pc |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 5c Medical Park Drive, Pomona, New York |
| Authorized Official Name and Position | Marita Smith (OWNER) |
| Authorized Official Contact | 8454149626 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Marita Smith Dentistry, Pc 5c Medical Park Drive Pomona NY 10970 Ph: (845) 414-9626 | Marita Smith Dentistry, Pc 5c Medical Park Drive Pomona NY 10970 Ph: (845) 414-9626 |
| NPI Number | 1366993990 |
|---|---|
| Provider Enumeration Date | 10/19/2016 |
| Last Update Date | 10/19/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366993990 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | 056224 (New York) | Primary |
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