| NPI | 1740700582 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID JANASH Owner 917-915-4504 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NY 051610) |
| Additional Taxonomies | 122300000X Dentist (Licence: NY 051610) |
| Enumeration Date | 2017-06-22 |
| Last Update Date | 2024-05-30 |