| NPI | 1720304165 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVE D JACOBS Dentist 718-366-0662 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NY 039714) |
| Enumeration Date | 2010-04-09 |
| Last Update Date | 2010-04-09 |