Organization
PEDIATRIC DENTISTRY OF SUFFOLK COUNTY II
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHRISTOS A IOANNOU D.D.S. (PEDIATRIC DENTIST)
(631) 320-0880
Entity
Organization
Contact information
Practice address
3237 ROUTE 112, BUILDING #6 SUITE 7B, MEDFORD, NY 11763-1424
(631) 320-0880
(631) 320-3165
Mailing address
3237 ROUTE 112, BUILDING #6 SUITE 7B, MEDFORD, NY 11763-1424
(631) 320-0880
(631) 320-3165
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Enumeration date
07/08/2011
Last updated
07/08/2011
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