| NPI | 1326310913 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GEORGE KOROLOGOS Owner/Dentist 631-499-1212 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NY 048534) |
| Additional Taxonomies | 1223P0700X Dentist, Prosthodontics |
| Enumeration Date | 2012-01-30 |
| Last Update Date | 2012-01-30 |