| NPI | 1417375858 |
|---|---|
| Doing Business As | GREATER DENTAL |
| Entity Type | Organization |
| Authorized Contact | JESSICA MYAE LEE Owner 646-314-0196 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NY 053612) |
| Enumeration Date | 2014-04-02 |
| Last Update Date | 2014-04-02 |