| NPI | 1457785024 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREG PANOSSIAN Owner/Partner 718-967-3200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery |
| Enumeration Date | 2013-08-30 |
| Last Update Date | 2014-01-15 |