NPI | 1639445745 |
---|---|
Doing Business As | GREATER DENTAL P.C. |
Entity Type | Organization |
Authorized Contact | JESSICA MYAE LEE Owner 718-822-6086 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NY 053612) |
Enumeration Date | 2012-03-23 |
Last Update Date | 2014-04-03 |