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Organization

KID SMILES PEDIATRIC DENTISTRY OF PORT JEFFERSON STATION PLLC

Active
Other names
Kid Smiles Pediatric Dentistry of Port Jefferson Station PLLC
Organization subpart
No

Provider details

NPI number
Authorized official
CYNTHIA LYNN PASTORE (INSURANCE COORDINATOR)
(516) 548-8753
Entity
Organization

Contact information

Practice address
1174 ROUTE 112 STE B, PORT JEFFERSON STATION, NY 11776-8033
(631) 676-4071
(516) 588-9221
Mailing address
1174 ROUTE 112 STE B, PORT JEFFERSON STATION, NY 11776-8033
(631) 676-4071
(516) 588-9221

Taxonomy

Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary

Other

Enumeration date
03/13/2023
Last updated
03/13/2023
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