| NPI | 1699367912 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOVANKA ZIVKOVIC Dentist/Owner 718-701-1225 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Additional Taxonomies | 261QD0000X Clinic/Center Dental |
| Enumeration Date | 2021-02-08 |
| Last Update Date | 2021-02-08 |