NPI | 1700109444 |
---|---|
Entity Type | Organization |
Authorized Contact | EUGENE FRANK LESINSKI Authorized Official 757-485-2222 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NY 020160) |
Enumeration Date | 2010-03-09 |
Last Update Date | 2010-03-09 |