| NPI | 1265181499 |
|---|---|
| Doing Business As | GLEN OAKS DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | MANISH SHARMA Owner 718-343-3911 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2022-03-23 |
| Last Update Date | 2022-03-23 |