| NPI | 1215565171 |
|---|---|
| Doing Business As | ADVANCED SMILE DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | DAVID OSMAN BASAR Dentist 917-847-8538 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2020-03-27 |
| Last Update Date | 2020-03-27 |