Organization
GRACE DENTAL SMILES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AVINASH CHERIAN DMD (OWNER)
(631) 619-0010
Entity
Organization
Contact information
Practice address
102 ROUTE 109, WEST BABYLON, NY 11704-6220
(631) 619-0010
(631) 983-4774
Mailing address
102 ROUTE 109, WEST BABYLON, NY 11704-6220
(631) 619-0010
(631) 983-4774
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
10/08/2018
Last updated
10/08/2018
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