| NPI | 1518205079 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EUGENE MILFORD Dentist 718-436-1339 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NY 037598) |
| Enumeration Date | 2013-01-17 |
| Last Update Date | 2013-01-17 |