Organization · Type 2 NPI

Great Smile Dental Services PC

Customized Equipment (DME) · New York, NY

NPI number 1275919656 Active

Practice location

629 W 185th St, 4th Floor
New York, NY 10033-3102

Fax (646) 353-6482

Specialties and licenses

TaxonomyCodeLicense
Customized Equipment (DME) Primary 332BC3200X050561-1 (NY)

Customized Equipment (DME): Definition to come...

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About NPI 1275919656

Great Smile Dental Services PC's National Provider Identifier is 1275919656, issued on Aug 7, 2015. The primary taxonomy on file is Customized Equipment (DME) (332BC3200X), and the practice location is in New York, NY. The record was last updated on Aug 7, 2015.