| NPI | 1356685275 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PETER BRZOZA Owner 347-496-2087 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MA DN1855670) |
| Enumeration Date | 2012-11-15 |
| Last Update Date | 2012-11-15 |