Individual
JADIE SUI WAI SHING-DE TOLLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
329 E MAIN ST, SUITE 7, SMITHTOWN, NY 11787-2830
(631) 265-9616
(631) 265-9634
Mailing address
329 E MAIN ST, SUITE 7, SMITHTOWN, NY 11787-2830
(631) 265-9616
(631) 265-9634
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
036322-1
NY
Other
Enumeration date
09/22/2006
Last updated
07/08/2007
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