| NPI | 1770781692 |
|---|---|
| Doing Business As | I-DONTICS OF BROOKLYN |
| Entity Type | Organization |
| Authorized Contact | MARK E. ULRICH Chief Executive Officer 212-838-0940 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0200X Clinic/Center, Radiology |
| Enumeration Date | 2007-07-03 |
| Last Update Date | 2007-08-25 |