Organization
HELLOSMILE ORTHODONTICS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SADI KERMANI (ORTHODONTIST)
(415) 336-7234
Entity
Organization
Contact information
Practice address
103-24 ROOSEVELT AVE, CORONA, NY 11368
(718) 433-2304
Mailing address
93-20 ROOSEVELT AVENUE, SUITE 3D, JACKSON HEIGHTS, NY 11368
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
0571241
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03800364
—
NY
Enumeration date
08/15/2014
Last updated
08/15/2014
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