Organization
LI DENTISTRY AND SMILE DESIGN, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PORFIRIO ANTONIO NUNEZ (PRESIDENT)
(631) 683-4455
Entity
Organization
Contact information
Practice address
1927 NEW YORK AVE, HUNTINGTON STATION, NY 11746-2909
(631) 683-4455
(631) 683-4453
Mailing address
1927 NEW YORK AVE, HUNTINGTON STATION, NY 11746-2909
(631) 683-4455
(631) 683-4453
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
051424
NY
Other
Enumeration date
09/17/2009
Last updated
09/17/2009
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