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Organization
YOUR SMILE DENTAL OF FREEPORT PLLC
Active
Organization
YOUR SMILE DENTAL OF FREEPORT PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VICTOR KATSMAN DDS (OWNER)
(631) 462-0300
Entity
Organization
Contact information
Practice address
415 W MERRICK RD, FREEPORT, NY 11520-4144
(631) 462-0300
Mailing address
415 W MERRICK RD, FREEPORT, NY 11520-4144
(631) 462-0300
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
10/01/2018
Last updated
10/01/2018
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