| NPI | 1144639857 |
|---|---|
| Doing Business As | IDI |
| Entity Type | Organization |
| Authorized Contact | PANAGIOTIS GLAVAS CEO 516-487-6453 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: NY 047563) |
| Enumeration Date | 2014-08-06 |
| Last Update Date | 2014-08-13 |