| 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 |