NPI | 1225343015 |
---|---|
Entity Type | Organization |
Authorized Contact | STEVE SLOBODSKI Owner 718-259-3828 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NY 042886) |
Enumeration Date | 2010-08-17 |
Last Update Date | 2010-09-14 |