Organization
GREAT WHITES KIDS PEDIATRIC DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAWN SOSNICK DDS (OWNER)
(631) 261-5100
Entity
Organization
Contact information
Practice address
755 PARK AVE STE 180, HUNTINGTON, NY 11743-3972
(631) 261-5100
(631) 261-5665
Mailing address
755 PARK AVE STE 180, HUNTINGTON, NY 11743-3972
(631) 261-5100
(631) 261-5665
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
050904
NY
1223P0221X
Pediatric Dentistry
054986
NY
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
050868
NY
Other
Enumeration date
01/05/2012
Last updated
01/05/2012
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