| NPI | 1194399451 |
|---|---|
| Doing Business As | JFK DENTAL CLINIC |
| Entity Type | Organization |
| Authorized Contact | FRANK PIPAS Executive Vice President 848-888-4687 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2021-05-19 |
| Last Update Date | 2021-05-19 |