Organization
SUPERSMILES KDS DENTAL PC
Active
Other names
Supersmiles Pediatric Dentistry I
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTINE BRANIGAN (ADMIN)
(631) 451-7700
Entity
Organization
Contact information
Practice address
5036 JERICHO TPKE STE 307, COMMACK, NY 11725-2812
(631) 486-6220
Mailing address
500 PORTION RD STE 16, RONKONKOMA, NY 11779-4587
(631) 451-7700
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Enumeration date
02/24/2025
Last updated
02/24/2025
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