| NPI | 1043783152 |
|---|---|
| Doing Business As | JUSTIN DENTAL AND BRACES |
| Entity Type | Organization |
| Authorized Contact | MARITZA DURAN Delegated Official 516-229-1441 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Enumeration Date | 2019-01-10 |
| Last Update Date | 2019-01-10 |