NPI | 1659049096 |
---|---|
Doing Business As | BRYANT ST DENTAL |
Entity Type | Organization |
Authorized Contact | CHAD HASAN ABED Owner 917-209-1950 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
Enumeration Date | 2021-09-01 |
Last Update Date | 2021-09-01 |