NPI | 1306201462 |
---|---|
Doing Business As | BORN TO SMILE DENTAL |
Entity Type | Organization |
Authorized Contact | MARK M BORNSTEIN Owner 516-295-0081 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: NY 052254) |
Enumeration Date | 2015-12-16 |
Last Update Date | 2015-12-16 |