| NPI | 1508379546 |
|---|---|
| Doing Business As | WOODSIDE FAMILY DENTAL |
| Entity Type | Organization |
| Authorized Contact | CRISTIAN SECAREANU President 718-651-7700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2017-11-13 |
| Last Update Date | 2017-11-13 |