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Organization
SURE SMILE, LLC
Active
Organization
SURE SMILE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AHMED KHEIR DMD (DR.)
(914) 472-9400
Entity
Organization
Contact information
Practice address
1075 CENTRAL PARK AVENUE, SUITE #104, APPLE BANK PLAZA, SCARSDALE, NY 10583
(914) 472-9400
(914) 723-1160
Mailing address
1075 CENTRAL PARK AVENUE, SUITE #104, APPLE BANK PLAZA, SCARSDALE, NY 10583
(914) 472-9400
(914) 723-1160
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
053281-1
NY
122300000X
Dentist
DS036832
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1396890752
NPI
CO
Enumeration date
02/12/2010
Last updated
07/13/2010
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