| NPI | 1508264359 |
|---|---|
| Doing Business As | VILLAGE DENTAL |
| Entity Type | Organization |
| Authorized Contact | ANDREW BRYAN LEVY Owner/Dentist 212-674-2024 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NY 056210) |
| Enumeration Date | 2014-12-10 |
| Last Update Date | 2014-12-10 |