| NPI | 1255592762 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EUGENE BURBACKI Dentist 718-339-8856 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NY 043058) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2008-06-18 |
| Last Update Date | 2008-06-18 |