| NPI | 1548701261 |
|---|---|
| Doing Business As | QUEENS CENTRAL DENTAL |
| Entity Type | Organization |
| Authorized Contact | ILYA MALE AMES President 718-309-2531 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: NY 051675-1) |
| Enumeration Date | 2017-03-14 |
| Last Update Date | 2017-03-14 |