| NPI | 1740044338 |
|---|---|
| Former Legal Business Name | DITMARS FAMILY DENTAL |
| Entity Type | Organization |
| Authorized Contact | GEORGE GATZONIS Dentist 718-726-3600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2024-02-13 |
| Last Update Date | 2024-02-13 |