| NPI | 1003168295 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EFSTATHIOS GIANNOUTSOS Orthodontist 917-518-9128 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: NY NY052416) |
| Enumeration Date | 2012-10-11 |
| Last Update Date | 2012-10-11 |