Stony Brook Cosmetic Dentistry, P.c.
NPI #1083898183 in Stony Brook, New York
Provider Information
- NPI Number
- 1083898183
- Entity Type
- Organization
- Organization Name
- Stony Brook Cosmetic Dentistry, P.c.
- Primary Specialty
- Dentist
- Enumeration Date
- Dec 26, 2007
- Last Updated
- Dec 26, 2007
Practice Location
- Address
- 215 HALLOCK RD
- Address 2
- SUITE 2
- City
- Stony Brook
- State
- New York
- ZIP Code
- 11790-3078
- Phone
- (631) 689-3226
Authorized Official
- Name
- DR. KEITH V WATKINS, D.D.S.
- Title
- OWNER/DENTIST
- Phone
- (631) 689-3226
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist |
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