| NPI | 1629263470 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM GEORGE ELIADES Dentist Owner 718-445-5610 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NY 37540) |
| Enumeration Date | 2007-09-13 |
| Last Update Date | 2007-09-13 |