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 |