NPI | 1780763490 |
---|---|
Former Legal Business Name | PERFECT DENTAL PC |
Entity Type | Organization |
Authorized Contact | ELIYAHU BALAKHANE President 718-972-7200 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NY 046190) |
Enumeration Date | 2006-11-03 |
Last Update Date | 2013-06-17 |