Individual
SUSAN CHIOFOLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
99 HOLLYWOOD DR, SMITHTOWN, NY 11787-3135
(631) 366-5800
Mailing address
95 JOAN AVE, CENTEREACH, NY 11720-4431
(631) 846-8950
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
016171
NY
Other
Enumeration date
03/29/2007
Last updated
07/08/2007
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