# SMILES FOREVER DENTAL PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1013423490
- **Authorized official:** HARPREET DHALIWAL DDS (OWNER)
- **Authorized official phone:** (732) 322-4141

## Contact information

- **Practice address:** 4255 AMBOY RD, STATEN ISLAND, NY 10308-2308
- **Practice address phone:** (718) 682-3373
- **Mailing address:** 4255 AMBOY RD, STATEN ISLAND, NY 10308-2308

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 12/20/2017
- **Last updated:** 12/20/2017
