Organization
SMILE ON DENTAL PLLC
Active
Other names
Smile On Westbury
Organization subpart
No
Provider details
NPI number
Authorized official
SORNANONG YAIBUATHES DDS (DENTIST)
(631) 428-4331
Entity
Organization
Contact information
Practice address
265 POST AVE STE 380, WESTBURY, NY 11590-2234
(631) 428-4331
Mailing address
100 BEEKMAN ST APT 25E, NEW YORK, NY 10038-1820
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
12/14/2022
Last updated
12/14/2022
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