| NPI | 1326378878 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTINA TRAN Manager 718-265-8603 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NY 044505) |
| Enumeration Date | 2010-01-06 |
| Last Update Date | 2010-01-06 |