| NPI | 1215058201 |
|---|---|
| Doing Business As | THE DENTAL CENTER AT MANHASSET |
| Entity Type | Organization |
| Authorized Contact | NICHOLAS I RALLIS Member 516-627-0362 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: NY 041674) |
| Additional Taxonomies | 1223P0300X Dentist Periodontics |
| 1223S0112X Dentist Oral and Maxillofacial Surgery | |
| Enumeration Date | 2007-04-03 |
| Last Update Date | 2020-08-22 |