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Dr. Jaime M. Poulos, Dds P.c.
Dental Clinic/Center in Huntington, New York
NPI 1609397108

Dr. Jaime M. Poulos, Dds P.c. is a Dental Clinic/Center based in Huntington, NY and is specialized in Dental. Dr. Jaime M. Poulos, Dds P.c. practices in Huntington, NY. The NPI Number for Dr. Jaime M. Poulos, Dds P.c. is 1609397108 and holds a License No. (New York).

The current practice location address for Dr. Jaime M. Poulos, Dds P.c. is 120 New York Ave Ste 2W, Huntington, NY and can be reached out via phone at 631-673-3755 and via fax at 631-673-3343.

Location: 120 New York Ave Ste 2W, Huntington, NY, 11743-3143
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1609397108
Provider Name
Dr. Jaime M. Poulos, Dds P.c.
Credential
Provider Entity Type
Organization
Address
120 New York Ave Ste 2W, Huntington, NY, 11743-3143
Phone Number
631-673-3755
Fax Number
631-673-3343
Provider Enumeration Date
07/05/2017
Last Update Date
05/18/2024
institution
Provider Business Practice Location Address Details
Address
120 New York Ave Ste 2W
City
Huntington
State
New York
Zip
11743-2743
Phone Number
631-673-3755
Fax Number
631-673-3343
person
Provider Business Mailing Address Details
Address
120 New York Ave Ste 2W
City
Huntington
State
New York
Zip
11743-2743
Phone Number
631-673-3755
Fax Number
631-673-3343
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Dental
Taxonomy
261QD0000X
License No.
()
Definition
Definition to come...
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