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Organization
SMILE CREATIONS DENTAL ARTS PLLC
Active
Organization
SMILE CREATIONS DENTAL ARTS PLLC
Active
Other names
Smile Creations Dental
Organization subpart
No
Provider details
NPI number
Authorized official
CHAD HENDRICKS (CREDENTIALING)
(612) 859-0444
Entity
Organization
Contact information
Practice address
5 BLOCK BLVD, MASSAPEQUA PARK, NY 11762-3737
(516) 541-7344
Mailing address
5 BLOCK BLVD, MASSAPEQUA PARK, NY 11762-3737
(516) 541-7344
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
06/12/2023
Last updated
06/12/2023
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