| NPI | 1134439847 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELAN KAUFMAN Dentist 718-645-8088 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2010-10-15 |
| Last Update Date | 2010-10-15 |