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Organization
SMILE ON DENTAL PLLC
Active
Organization
SMILE ON DENTAL PLLC
Active
Other names
Smile On Westbury
Organization subpart
No
Provider details
NPI number
Authorized official
SORNANONG YAIBUATHES DDS (DENTIST)
(631) 428-4331
Entity
Organization
Contact information
Practice address
265 POST AVE STE 380, WESTBURY, NY 11590-2234
(631) 428-4331
Mailing address
100 BEEKMAN ST APT 25E, NEW YORK, NY 10038-1820
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
NULL
Other
Enumeration date
12/14/2022
Last updated
12/14/2022
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