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Organization
SMILEALIGN ORTHODONTICS
Active
Organization
SMILEALIGN ORTHODONTICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THEODORE SAMI WOHL DMD (DENTIST)
(718) 336-7190
Entity
Organization
Contact information
Practice address
1680 E 19TH ST, BROOKLYN, NY 11229-1312
(718) 336-7190
(718) 645-2024
Mailing address
1680 E 19TH ST, BROOKLYN, NY 11229-1312
(718) 336-7190
(718) 645-2024
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
046387-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1306926464
—
NY
Enumeration date
11/06/2012
Last updated
11/06/2012
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