NPI | 1356775316 |
---|---|
Doing Business As | MAIN DENTAL GROUP |
Entity Type | Organization |
Authorized Contact | DANIELLE L SIM President 718-710-1893 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: NY 054654) |
Enumeration Date | 2013-08-27 |
Last Update Date | 2013-08-27 |