| NPI | 1225927494 |
|---|---|
| Doing Business As | UNITED DENTAL ASSOCIATE P.C |
| Entity Type | Organization |
| Authorized Contact | REVAZ BERIDZE President 718-459-3159 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2025-07-01 |
| Last Update Date | 2025-07-01 |