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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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