| NPI | 1629517776 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID DAYAN Owner 718-241-0404 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: NY 0581081) |
| Enumeration Date | 2017-02-21 |
| Last Update Date | 2017-02-21 |