| NPI | 1134665235 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROLE GERMAIN Dentist 718-826-0251 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NY 043299) |
| Enumeration Date | 2017-01-12 |
| Last Update Date | 2017-01-12 |