| NPI | 1225468432 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADAM LYLE ZATCOFF Owner 718-448-1144 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NY 50055536) |
| Additional Taxonomies | 1223P0300X Dentist, Periodontics (Licence: NY 051010) |
| Enumeration Date | 2013-11-25 |
| Last Update Date | 2013-11-25 |