| NPI | 1154067981 |
|---|---|
| Former Legal Business Name | ANDREW LERMER |
| Entity Type | Organization |
| Authorized Contact | ANDREW LERMER Owner 718-216-1329 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2022-05-05 |
| Last Update Date | 2022-05-05 |