| NPI | 1528277738 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN P. GRAZIANO Sole Member 718-833-0672 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: NY 030171) |
| Additional Taxonomies | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: NY 030171DrJohnGraziano) |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2015-01-07 |