| NPI | 1780101212 |
|---|---|
| Doing Business As | UPPER WEST SIDE PEDIATRIC DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | RANDY ZULTOWSKY President 917-952-5642 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: NY 055100) |
| Enumeration Date | 2017-08-25 |
| Last Update Date | 2017-08-25 |