| NPI | 1205388733 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIMITRI PAPADOPOULOS Dentist 718-806-1336 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center Dental (Licence: NY 050614) |
| Enumeration Date | 2016-11-01 |
| Last Update Date | 2016-11-01 |