NPI | 1336461995 |
---|---|
Doing Business As | 82ND STREET DENTAL |
Entity Type | Organization |
Authorized Contact | HOOMAN NEMAN Owner 718-225-7645 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Enumeration Date | 2010-02-24 |
Last Update Date | 2010-02-24 |