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Organization
SMILE HOUSE DENTAL P.C.
Active
Organization
SMILE HOUSE DENTAL P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANIEL KHODORKOVSKY DMD (PRESIDENT)
(347) 566-0219
Entity
Organization
Contact information
Practice address
3538 JUNCTION BLVD, CORONA, NY 11368-1775
(347) 831-7474
Mailing address
3538 JUNCTION BLVD, CORONA, NY 11368-1775
(347) 831-7474
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
10/09/2024
Last updated
01/16/2025
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