| NPI | 1295504520 |
|---|---|
| Doing Business As | DENTAL AVENUE GREENPOINT |
| Entity Type | Organization |
| Authorized Contact | JASON BASTIDA Dentist 646-675-9671 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Enumeration Date | 2023-12-28 |
| Last Update Date | 2023-12-28 |