| NPI | 1013132554 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VERED MASLAVI Pediatric Dentist 718-279-0900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: NY 049740) |
| Enumeration Date | 2007-04-17 |
| Last Update Date | 2020-08-22 |