| NPI | 1366092850 |
|---|---|
| Doing Business As | CARROLL GARDENS PEDIATRIC DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | WANYUN XUE Owner 718-852-3793 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center Dental |
| Enumeration Date | 2019-09-17 |
| Last Update Date | 2022-12-06 |