# YAGHI SMILE

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- **Entity:** Organization
- **Status:** Active
- **Other names:** YAGHI SMILE
- **Organization subpart:** No

## Provider details

- **NPI number:** 1053178186
- **Authorized official:** MOHAMAD YAGHI DDS (GENERAL DENTIST)
- **Authorized official phone:** (347) 570-5857

## Contact information

- **Practice address:** 900 SOUTH AVE STE 301, STATEN ISLAND, NY 10314-3426
- **Practice address phone:** (347) 489-0909
- **Mailing address:** 1137 OLYMPIA BLVD, STATEN ISLAND, NY 10306-5923

## Taxonomy

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

## Other

- **Enumeration date:** 03/05/2024
- **Last updated:** 03/05/2024