DR. Sophia C Manolis, DDS

NPI #1386768380 in Port Jefferson, New York

Provider Information

NPI Number: 1386768380
Entity Type: Individual
Name: DR. Sophia C Manolis, DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: Mar 17, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 602 MAIN ST
City: Port Jefferson
State: New York
ZIP Code: 11777-2203
Phone: (631) 473-1511

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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