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Organization
THE SMILIST DENTAL PLLC
Active
Organization
THE SMILIST DENTAL PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAY KHORSANDI DDS (PRESIDENT)
(310) 709-9002
Entity
Organization
Contact information
Practice address
71 LINCOLN AVE, ROCKVILLE CENTRE, NY 11570-5732
(516) 764-7222
Mailing address
71 LINCOLN AVE, ROCKVILLE CENTRE, NY 11570-5732
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
056821
NY
Other
Enumeration date
02/13/2014
Last updated
02/13/2014
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