| NPI | 1154765287 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOANNA KOWALEWSKI Dentist 718-417-8453 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NY 046206) |
| Enumeration Date | 2013-04-19 |
| Last Update Date | 2013-04-24 |