| NPI | 1235480450 |
|---|---|
| Doing Business As | JACKSON HEIGHTS ORTHODONTICS |
| Entity Type | Organization |
| Authorized Contact | EFSTATHIOS GIANNOUTSOS Orthodontist 718-335-4444 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: NY NY052416) |
| Enumeration Date | 2012-09-27 |
| Last Update Date | 2012-09-27 |