| NPI | 1417194119 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ISAAK GRINMAN President 718-693-5455 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NY 045549) |
| Enumeration Date | 2009-01-16 |
| Last Update Date | 2009-03-19 |