NPI | 1417260167 |
---|---|
Doing Business As | MODERN DENTISTRY OF LONG ISLAND |
Entity Type | Organization |
Authorized Contact | LAUREN S ARGENTINA President / Owner 631-473-0582 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NY 052316) |
Enumeration Date | 2010-07-23 |
Last Update Date | 2010-07-23 |