| NPI | 1497096168 |
|---|---|
| Doing Business As | EAST RIVER ORAL AND MAXILLOFACIAL SURGERY |
| Entity Type | Organization |
| Authorized Contact | ELEFTHERIOS S GAVRIIL Owner 718-440-3457 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist Oral and Maxillofacial Surgery (Licence: NY 053186) |
| Enumeration Date | 2013-03-06 |
| Last Update Date | 2013-03-06 |