Organization
MANISHA SURI DDS PC
Active
Other names
Smiles on Wellwood
Organization subpart
No
Provider details
NPI number
Authorized official
MANISHA SURI D.D.S. (OWNER)
(631) 957-2211
Entity
Organization
Contact information
Practice address
764 WELLWOOD AVE, LINDENHURST, NY 11757-1606
(631) 957-2211
Mailing address
764 WELLWOOD AVE, LINDENHURST, NY 11757-1606
(631) 957-2211
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
054438
NY
Other
Enumeration date
12/10/2016
Last updated
12/10/2016
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