NPI | 1770049298 |
---|---|
Doing Business As | HANSON PLACE DENTAL ASSOCIATES |
Entity Type | Organization |
Authorized Contact | RICHARD GIDDON Owner 718-403-0447 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
Enumeration Date | 2019-02-20 |
Last Update Date | 2019-09-09 |