NPI | 1114131455 |
---|---|
Doing Business As | WEST SIDE DENTAL ASSOCIATES |
Entity Type | Organization |
Authorized Contact | JOEL BRYK Owner 212-749-2400 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Enumeration Date | 2007-05-09 |
Last Update Date | 2008-08-19 |