| NPI | 1629253653 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AVTAR SINGH TINNA Dentist 718-291-1200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NY 038294) |
| Enumeration Date | 2008-01-09 |
| Last Update Date | 2008-01-09 |