# SMILE ON DENTAL PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Smile On Westbury
- **Organization subpart:** No

## Provider details

- **NPI number:** 1417669052
- **Authorized official:** SORNANONG YAIBUATHES DDS (DENTIST)
- **Authorized official phone:** (631) 428-4331

## Contact information

- **Practice address:** 265 POST AVE STE 380, WESTBURY, NY 11590-2234
- **Practice address phone:** (631) 428-4331
- **Mailing address:** 100 BEEKMAN ST APT 25E, NEW YORK, NY 10038-1820

## Taxonomy

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

## Other

- **Enumeration date:** 12/14/2022
- **Last updated:** 12/14/2022