Open Wide Dental, PC
NPI #1851592042 in Stony Brook, New York
Provider Information
- NPI Number
- 1851592042
- Entity Type
- Organization
- Organization Name
- Open Wide Dental, PC
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- May 29, 2007
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 17 QUAKER PATH
- City
- Stony Brook
- State
- New York
- ZIP Code
- 11790-1307
- Phone
- (631) 751-0065
Authorized Official
- Name
- DR. THOMAS WILLIAM RIUTTA JR., D.D.S.
- Title
- OWNER
- Phone
- (631) 751-0065
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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