| NPI | 1154592004 |
|---|---|
| Doing Business As | FORT GREENE PEDIATRIC DENTAL |
| Entity Type | Organization |
| Authorized Contact | UNTRAY TYRONE BROWN Pediatric Dentist 718-230-7676 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: NY 046243) |
| Enumeration Date | 2008-03-19 |
| Last Update Date | 2008-03-19 |