| NPI | 1053613372 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEONID REZNIK Owner/Dentist 516-343-2772 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NY 049260) |
| Enumeration Date | 2010-11-18 |
| Last Update Date | 2010-11-18 |