Organization
I-SMILE BRACES, PLLC
Active
Organization
I-SMILE BRACES, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHANDRA PHAM DDS (ORTHODONTIST)
(631) 581-6565
Entity
Organization
Contact information
Practice address
150 ISLIP AVE, SUITE 3, ISLIP, NY 11751-3222
(631) 581-6565
(631) 581-6574
Mailing address
150 ISLIP AVE, SUITE 3, ISLIP, NY 11751-3222
(631) 581-6565
(631) 581-6574
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
054700-1
NY
Other
Enumeration date
03/31/2015
Last updated
03/31/2015
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