| NPI | 1518143742 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MILTIADES STERGAKOS Dentist 631-225-2115 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NY 048807-1) |
| Enumeration Date | 2008-01-17 |
| Last Update Date | 2008-01-17 |