| NPI | 1730337577 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JONATHAN ADAM FLAX Dentist / Owner 718-464-9216 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: NY 043393) |
| Additional Taxonomies | 122300000X Dentist (Licence: NY 043437) |
| Enumeration Date | 2008-09-05 |
| Last Update Date | 2017-10-07 |