| NPI | 1609048644 |
|---|---|
| Doing Business As | MANHATTAN AVENUE FAMILY DENTAL PLLC |
| Entity Type | Organization |
| Authorized Contact | IRENE KUNKEL Office Manager 718-389-4266 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2008-03-31 |
| Last Update Date | 2008-08-01 |