| NPI | 1275742611 |
|---|---|
| Other Name | PROFESSIONAL CORPORATION |
| Entity Type | Organization |
| Authorized Contact | ADAM K SMITH President Owner 718-884-0400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: NY 033698) |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2008-04-18 |