Your Smile Dental of Freeport Pllc

NPI #1053896555 in Freeport, New York

Provider Information

NPI Number: 1053896555
Entity Type: Organization
Organization Name: Your Smile Dental of Freeport Pllc
Primary Specialty: Dentist
Enumeration Date: Oct 1, 2018
Last Updated: Oct 1, 2018

Practice Location

Address: 415 W MERRICK RD
City: Freeport
State: New York
ZIP Code: 11520-4144
Phone: (631) 462-0300

Authorized Official

Name: VICTOR KATSMAN, DDS
Title: OWNER
Phone: (631) 462-0300

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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