Organization
I-SMILE ORTHODONTICS SERVICES PLLC
Active
Organization
I-SMILE ORTHODONTICS SERVICES PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DMITRIY ROZENFELD (MANAGER)
(917) 868-7013
Entity
Organization
Contact information
Practice address
6321 18TH AVE, 1ST FLOOR, BROOKLYN, NY 11204
(718) 397-1110
Mailing address
3041 OCEAN AVE APT 3A, BROOKLYN, NY 11235-3414
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1720377153
—
NY
Enumeration date
08/02/2022
Last updated
08/02/2022
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