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 |