| NPI | 1407454960 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PETER D TSAMBAZIS President 917-692-3160 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Additional Taxonomies | 1223P0300X Dentist, Periodontics |
| Enumeration Date | 2020-10-15 |
| Last Update Date | 2020-10-15 |