| NPI | 1275314106 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ABENA SALOME OWUSU-FRIMPONG Owner 718-813-4328 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0300X Dentist, Periodontics |
| Additional Taxonomies | 1223D0004X Dentist, Dentist Anesthesiologist Speciality |
| 1223E0200X Dentist, Endodontics | |
| 1223P0700X Dentist, Prosthodontics | |
| Enumeration Date | 2023-10-06 |
| Last Update Date | 2023-10-06 |