Organization
MIGHTY SMILES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SIMON WONG DDS (PRESIDENT)
(917) 885-3757
Entity
Organization
Contact information
Practice address
837 59TH ST FL 3, BROOKLYN, NY 11220-3611
(718) 680-8881
(718) 680-7880
Mailing address
837 59TH ST FL 3, BROOKLYN, NY 11220-3611
(718) 680-8881
(718) 680-7880
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02165608
—
NY
Enumeration date
07/15/2020
Last updated
07/15/2020
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