| NPI | 1104914142 |
|---|---|
| Doing Business As | CITIDENT DENTAL CENTER |
| Entity Type | Organization |
| Authorized Contact | ERIC M GOLDFARB Sec Treas 718-365-4300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Enumeration Date | 2006-10-11 |
| Last Update Date | 2020-08-22 |