| NPI | 1528652237 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KONSTANTINOS HAROGIANNIS Owner 516-244-9249 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Additional Taxonomies | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2021-02-23 |
| Last Update Date | 2021-05-04 |