| NPI | 1255899712 |
|---|---|
| Doing Business As | ROCKAWAY BEACH ORTHODONTICS AND PEDIATRIC DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | EVAN COHEN Owner 718-924-2091 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Additional Taxonomies | 1223P0221X Dentist, Pediatric Dentistry |
| Enumeration Date | 2019-03-04 |
| Last Update Date | 2019-03-04 |