# GRACE DENTAL SMILES

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

## Provider details

- **NPI number:** 1275008138
- **Authorized official:** DR. AVINASH CHERIAN DMD (OWNER)
- **Authorized official phone:** (631) 619-0010

## Contact information

- **Practice address:** 102 ROUTE 109, WEST BABYLON, NY 11704-6220
- **Practice address phone:** (631) 619-0010
- **Practice address fax:** (631) 983-4774
- **Mailing address:** 102 ROUTE 109, WEST BABYLON, NY 11704-6220
- **Mailing address phone:** (631) 619-0010
- **Mailing address fax:** (631) 983-4774

## Taxonomy

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

## Other

- **Enumeration date:** 10/08/2018
- **Last updated:** 10/08/2018