| NPI | 1275839763 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AVIRAM D. SHMUELY Owner 718-762-0202 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NY 043525) |
| Enumeration Date | 2011-02-01 |
| Last Update Date | 2011-02-01 |