| NPI | 1710246533 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELEFTHERIOS GAVRIIL President 718-466-4500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: NY 053186) |
| Enumeration Date | 2012-05-14 |
| Last Update Date | 2012-05-14 |