| NPI | 1134465792 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KONSTANTINE TRICHAS President 212-751-7725 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: NY 054816-1) |
| Enumeration Date | 2012-12-28 |
| Last Update Date | 2012-12-28 |