| NPI | 1760197438 |
|---|---|
| Former Legal Business Name | NOSTRAND AVE SMILES DENTAL PC |
| Entity Type | Organization |
| Authorized Contact | ADRIAN F IANCU Office Manager 718-375-9257 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Enumeration Date | 2023-01-17 |
| Last Update Date | 2023-01-17 |