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Organization
DR. JAIME M. POULOS, DDS P.C.
Active
Organization
DR. JAIME M. POULOS, DDS P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAIME M POULOS DDS (PRESIDENT)
(631) 673-3755
Entity
Organization
Contact information
Practice address
120 NEW YORK AVE STE 2W, HUNTINGTON, NY 11743-2743
(631) 673-3755
(631) 673-3343
Mailing address
7 LAWRENCE HILL RD STE 1, HUNTINGTON, NY 11743-3143
(631) 673-3755
(631) 673-3433
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
NULL
Other
Enumeration date
07/05/2017
Last updated
04/09/2024
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