| NPI | 1760994347 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VASOS ERACLEOUS President/ Doctor 718-728-5759 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QD0000X Clinic/Center Dental (Licence: NY 50191) |
| Enumeration Date | 2017-11-03 |
| Last Update Date | 2017-11-03 |