Individual
DR. MILES D. GORENKOFF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
264 UNION AVE, HOLBROOK, NY 11741-1824
(631) 588-5600
Mailing address
11 THE GRASSLANDS, WOODBURY, NY 11797-1118
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
029051
NY
Other
Enumeration date
02/13/2007
Last updated
07/08/2007
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