| NPI | 1629265053 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VERED MASLAVI Dentist, Director 718-279-0900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: NY 49740) |
| Enumeration Date | 2007-10-01 |
| Last Update Date | 2007-10-01 |