NPI | 1194821454 |
---|---|
Other Name | ELLIOTT J DOMBROFF DMD & CELESTINO M DOS SANTOS DMD |
Entity Type | Organization |
Authorized Contact | CELESTINO MARQUES DOS SANTOS Owner Dentist 516-921-4141 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NY 048052) |
Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: NY 029628) |
Enumeration Date | 2006-09-15 |
Last Update Date | 2013-04-22 |