Organization · Type 2 NPI

Your Smile Dental of Riverhead

Dental Clinic/Center · Riverhead, NY

NPI number 1366979775 Active

Practice location

177 Old Country Rd Ste 1
Riverhead, NY 11901-2102

Mailing address

6040 Jericho Tpke
Commack, NY 11725-2806

Specialties and licenses

TaxonomyCodeLicense
Dental Clinic/Center Primary 261QD0000XNone listed

Dental Clinic/Center: Definition to come...

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About NPI 1366979775

Your Smile Dental of Riverhead's National Provider Identifier is 1366979775, issued on May 16, 2017. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Riverhead, NY. The record was last updated on May 16, 2017.