| NPI | 1215562491 |
|---|---|
| Doing Business As | CONEY ISLAND DENTAL ARTS |
| Entity Type | Organization |
| Authorized Contact | MAGNON IVAN REYES Owner 646-306-7141 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Enumeration Date | 2020-03-08 |
| Last Update Date | 2020-03-08 |