| NPI | 1598870263 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BARRY J SILVERMAN Owner 718-225-0515 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: KY 036006) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: MA 043797) |
| Enumeration Date | 2006-08-20 |
| Last Update Date | 2020-08-22 |