NPI | 1164551628 |
---|---|
Entity Type | Organization |
Authorized Contact | LEON GREENBERG Dentist 718-585-7612 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NY 21252) |
Enumeration Date | 2007-03-02 |
Last Update Date | 2020-08-22 |