| NPI | 1518231588 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN GRAZIANO Owner 718-987-2320 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: NY 030171) |
| Enumeration Date | 2012-03-08 |
| Last Update Date | 2012-03-08 |