NPI | 1568851954 |
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Doing Business As | BORO PARK ORTHODONTIC ASSOC. |
Entity Type | Organization |
Authorized Contact | PHILLIP ROSENBERG Owner 718-871-6663 |
Organization Subpart ? | No |
Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
Enumeration Date | 2015-01-22 |
Last Update Date | 2015-01-22 |