| NPI | 1104677525 |
|---|---|
| Doing Business As | BROOKLYN PERIODONTICS & IMPLANTOLOGY |
| Entity Type | Organization |
| Authorized Contact | MARLENE ABRAMS Administrator 516-484-7416 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0300X Dentist, Periodontics |
| Enumeration Date | 2024-04-01 |
| Last Update Date | 2024-04-01 |