NPI | 1649445602 |
---|---|
Doing Business As | EAST SIDE SMILE SOLUTIONS |
Entity Type | Organization |
Authorized Contact | JOHN EDWARD PURPURA Owner/President/Dentist 212-249-0877 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: NY 043135-02) |
Enumeration Date | 2008-04-29 |
Last Update Date | 2008-04-29 |