Organization
SMILE FAMILY DENTIST
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN LETIZIA DMD (DENTIST)
(212) 410-3909
Entity
Organization
Contact information
Practice address
247 E 116TH ST, NEW YORK, NY 10029-1402
(212) 410-3909
Mailing address
247 E 116TH ST, GROUND FLOOR, NEW YORK, NY 10029-1402
(212) 410-3909
(212) 426-8362
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
9176500
DORAL
NY
Enumeration date
03/28/2008
Last updated
07/28/2008
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