| NPI | 1760539118 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEXANDER LEVIN General Dentist 718-390-0140 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NY 043281) |
| Enumeration Date | 2007-01-05 |
| Last Update Date | 2010-07-20 |