# LI DENTISTRY AND SMILE DESIGN, P.C.

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

## Provider details

- **NPI number:** 1366775702
- **Authorized official:** DR. PORFIRIO ANTONIO NUNEZ (PRESIDENT)
- **Authorized official phone:** (631) 683-4455

## Contact information

- **Practice address:** 1927 NEW YORK AVE, HUNTINGTON STATION, NY 11746-2909
- **Practice address phone:** (631) 683-4455
- **Practice address fax:** (631) 683-4453
- **Mailing address:** 1927 NEW YORK AVE, HUNTINGTON STATION, NY 11746-2909
- **Mailing address phone:** (631) 683-4455
- **Mailing address fax:** (631) 683-4453

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | 051424 | NY | Yes |

## Other

- **Enumeration date:** 09/17/2009
- **Last updated:** 09/17/2009