Organization
SMILE SAVERS ORTHODO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EFSTATHIOS GIANNOUTSOS (ORTHODONTIST)
(917) 518-9128
Entity
Organization
Contact information
Practice address
2100 BARTOW AVE, 218, BRONX, NY 10475-4614
(718) 708-6323
Mailing address
2100 BARTOW AVE, 218, BRONX, NY 10475-4614
(718) 708-6323
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
NY052416
NY
Other
Enumeration date
10/11/2012
Last updated
10/11/2012
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