| NPI | 1164874525 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PETER K CAVIRIS Dentist/Managing Member 718-274-2149 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NY 043771) |
| Enumeration Date | 2016-07-11 |
| Last Update Date | 2016-07-11 |