Organization
BRENTWOOD SMILE ORTHODONTICS PLLC
Active
Organization
BRENTWOOD SMILE ORTHODONTICS PLLC
Active
Other names
Brentwood Smiles Orthodontics
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MIN GYU KWAK DDS (OWNER ORTHODONTIST)
(631) 332-6643
Entity
Organization
Contact information
Practice address
1895 BRENTWOOD RD, BRENTWOOD, NY 11717
(631) 388-7717
(631) 388-7797
Mailing address
21 BARSTOW RD APT 5A, GREAT NECK, NY 11021-2202
(631) 388-7717
(631) 388-7797
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Enumeration date
02/09/2026
Last updated
02/09/2026
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