Esthetic Smile Dentistry Pllc
NPI #1073831756 in East Northport, New York
Provider Information
- NPI Number
- 1073831756
- Entity Type
- Organization
- Organization Name
- Esthetic Smile Dentistry Pllc
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- May 5, 2010
- Last Updated
- Jun 17, 2022
Practice Location
- Address
- 554 LARKFIELD ROAD
- Address 2
- SUITE 100
- City
- East Northport
- State
- New York
- ZIP Code
- 11731-4205
- Phone
- (631) 315-1020
Authorized Official
- Name
- DR. SHAIFALI RAMETRA, DDS
- Title
- OWNER
- Phone
- (631) 771-1577
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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