Organization
DR. CHRIS' SMALL SMILES PEDIATRIC DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHRISTOS IOANNOU (OWNER)
(516) 761-2938
Entity
Organization
Contact information
Practice address
215 HALLOCK RD, SUITE 2, STONY BROOK, NY 11790-3078
(631) 762-9910
Mailing address
215 HALLOCK RD, SUITE 2, STONY BROOK, NY 11790-3078
(631) 762-9910
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
053189
NY
Other
Enumeration date
04/04/2013
Last updated
04/04/2013
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