Organization
THE SMILE SPOT PEDIATRIC DENTISTRY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LIEL GRINBAUM DMD (OWNER)
(516) 680-6915
Entity
Organization
Contact information
Practice address
14 THIELLS MOUNT IVY RD, POMONA, NY 10970-3021
(917) 979-6579
Mailing address
188 E 64TH ST APT 1602, NEW YORK, NY 10065-7465
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03636202
—
NY
Enumeration date
08/19/2024
Last updated
08/19/2024
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