| NPI | 1649437005 |
|---|---|
| Other Name | FAMILY DENTAL STUDIO |
| Entity Type | Organization |
| Authorized Contact | PAWEL L DYCZEK President 718-389-8200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: NY 046439-1) |
| Enumeration Date | 2008-05-21 |
| Last Update Date | 2008-05-21 |