| NPI | 1659653467 |
|---|---|
| Doing Business As | PARK AVENUE SMILES |
| Entity Type | Organization |
| Authorized Contact | JOHN HABIB Partner 914-965-3864 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NY 051666-1) |
| Enumeration Date | 2011-09-16 |
| Last Update Date | 2011-09-26 |