| NPI | 1336285311 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOANNA KOWALEWSKI Owner 718-389-8889 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NY 046206) |
| Enumeration Date | 2007-01-29 |
| Last Update Date | 2007-09-20 |