NPI | 1457960072 |
---|---|
Doing Business As | WILLIAMSBURG PEDIATRIC DENTAL |
Entity Type | Organization |
Authorized Contact | JONATHAN WALTNER Owner 718-218-7210 |
Organization Subpart ? | No |
Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry |
Enumeration Date | 2020-07-29 |
Last Update Date | 2020-07-29 |