| NPI | 1265291041 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BILLIE ZOLDAN Doctor 516-297-4794 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2024-03-15 |
| Last Update Date | 2024-03-15 |