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Premium Smiles Llc
Oral and Maxillofacial Surgery Clinic/Center in Elmont, New York
NPI 1811776636

Premium Smiles Llc is a Oral and Maxillofacial Surgery Clinic/Center based in Bronx, NY and is specialized in Oral and Maxillofacial Surgery. Premium Smiles Llc practices in Elmont, NY. The NPI Number for Premium Smiles Llc is 1811776636 and holds a License No. (New York).

The current practice location address for Premium Smiles Llc is 1810 Harriet St, Elmont, NY and can be reached out via phone at 718-294-3725.

Location: 1810 Harriet St, Elmont, NY, 10453-1015
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1811776636
Provider Name
Premium Smiles Llc
Credential
Provider Entity Type
Organization
Address
1810 Harriet St, Elmont, NY, 10453-1015
Phone Number
718-294-3725
Fax Number
Provider Enumeration Date
09/22/2023
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
1810 Harriet St
City
Elmont
State
New York
Zip
11003-4326
Phone Number
718-294-3725
Fax Number
person
Provider Business Mailing Address Details
Address
1810 Harriet St
City
Elmont
State
New York
Zip
11003-4326
Phone Number
718-294-3725
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Oral and Maxillofacial Surgery
Taxonomy
261QS0112X
License No.
()
Definition
The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
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