NPI | 1104323971 |
---|---|
Doing Business As | NEW LEAF DENTAL |
Entity Type | Organization |
Authorized Contact | NIDAL ZAHI SALAMEH Dentist 718-236-1165 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NY 058508) |
Additional Taxonomies | 261QS0112X Clinic/Center, Oral and Maxillofacial Surgery |
Enumeration Date | 2018-04-09 |
Last Update Date | 2021-08-19 |