| NPI | 1497073233 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK GOYKHMAN General Manager 718-307-5660 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223D0001X Dentist, Dental Public Health (Licence: NY 045344) |
| Enumeration Date | 2010-05-04 |
| Last Update Date | 2013-09-04 |