Organization
GROWING SMILES PEDIATRIC DENTISTRY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEVIN BENJUMEA DMD (OWNER)
(646) 249-4121
Entity
Organization
Contact information
Practice address
1300 UNION TPKE STE 307, NEW HYDE PARK, NY 11040-1759
(516) 437-6000
Mailing address
1300 UNION TPKE STE 307, NEW HYDE PARK, NY 11040-1759
(516) 437-6000
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Enumeration date
08/19/2024
Last updated
08/19/2024
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