| NPI | 1619208782 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID JAKUBOWITZ President 718-648-5500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NY 050068) |
| Enumeration Date | 2010-01-28 |
| Last Update Date | 2010-01-28 |