| NPI | 1376163931 |
|---|---|
| Former Legal Business Name | NEW SMILE ASTORIA DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | YACLYN CUEVAS Manager 917-601-7058 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2020-04-23 |
| Last Update Date | 2020-04-23 |