NPI | 1568410462 |
---|---|
Doing Business As | KINGSBRIDGE DENTAL ASSOCIATES |
Entity Type | Organization |
Authorized Contact | DAVID EIDMAN Director 718-543-7283 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: NY 0391971) |
Enumeration Date | 2006-05-04 |
Last Update Date | 2020-08-22 |