| NPI | 1093066581 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID KOSLOVSKY Owner 646-734-3929 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: NY 054954) |
| Enumeration Date | 2012-09-25 |
| Last Update Date | 2024-04-04 |