| NPI | 1306148127 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADAM LUBLIN Co Owner 718-297-4100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NY 044929) |
| Additional Taxonomies | 124Q00000X Dental Hygienist (Licence: NY 022580) |
| 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: NY 051908) | |
| 124Q00000X Dental Hygienist (Licence: NY 031327) | |
| 122300000X Dentist (Licence: NY 032158) | |
| Enumeration Date | 2010-11-30 |
| Last Update Date | 2010-12-02 |