| NPI | 1538551296 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JERALD STEVEN FRIEDMAN Owner 718-292-7117 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery |
| Enumeration Date | 2015-03-04 |
| Last Update Date | 2015-03-04 |