NPI | 1528579273 |
---|---|
Doing Business As | BEAR BROOK DENTAL CARE |
Entity Type | Organization |
Authorized Contact | MARITZA DURAN Credentialing Assisitant 516-229-1441 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist |
Enumeration Date | 2017-10-21 |
Last Update Date | 2018-03-08 |