| NPI | 1265653968 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOUGLAS CHARLES GARCZYNSKI Vice Pres 718-658-0123 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NY 035570) |
| Enumeration Date | 2007-05-01 |
| Last Update Date | 2008-07-29 |