SpecialtyPediatric Dentist
LocationPort Jefferson Station, NY
NPI1366581522
License number044157
Last verified by WhoIsMyDentist: 2026-07-20. Sourced from the U.S. federal NPI registry and state dental board licensing (federal record dated 11/11/2025). If this looks outdated, use "Report an issue" on this profile to suggest a correction.