Organization
CJK SMILES DENTAL, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CATHERINE BOULOS D.D.S (OWNER)
(718) 232-9559
Entity
Organization
Contact information
Practice address
7510 4TH AVE, SUITE 1, BROOKLYN, NY 11209-3244
(718) 232-9559
Mailing address
7510 4TH AVE, SUITE 1, BROOKLYN, NY 11209-3244
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
02/22/2017
Last updated
02/22/2017
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