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Organization
LI SMILE DESIGN DENTISTRY PC
Active
Organization
LI SMILE DESIGN DENTISTRY PC
Active
Other names
LI Smile Design Dentistry PC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PORFIRIO A NUNEZ DDS (OWNER/DENTIST)
(631) 388-5967
Entity
Organization
Contact information
Practice address
1750 5TH AVE STE 8, BAY SHORE, NY 11706-3438
(631) 388-5967
Mailing address
1750 5TH AVE STE 8, BAY SHORE, NY 11706-3438
(631) 388-5967
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
03/19/2024
Last updated
03/19/2024
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