| NPI | 1497997985 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY GRIGORATOS President 347-235-4605 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: NY 046147) |
| Enumeration Date | 2009-03-30 |
| Last Update Date | 2009-03-30 |