Organization
SOUTH SHORE ORTHODONTICS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DENISE L EMMA D.D.S. (OWNER)
(516) 223-9070
Entity
Organization
Contact information
Practice address
2280 GRAND AVE, SUITE 305, BALDWIN, NY 11510-3164
(516) 377-9818
Mailing address
2280 GRAND AVE, SUITE 305, BALDWIN, NY 11510-3164
(516) 377-9818
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
044925
NY
Other
Enumeration date
03/07/2007
Last updated
08/22/2020
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