| NPI | 1326720194 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EFSTATHIOS GIANNOUTSOS Owner 917-518-9128 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2023-08-02 |
| Last Update Date | 2023-08-02 |