NPI | 1790191377 |
---|---|
Doing Business As | GRAND SMILE DENTAL |
Entity Type | Organization |
Authorized Contact | ANGUEL HRISTOV PANEV Dentist 718-218-9494 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: NY 050701) |
Enumeration Date | 2014-07-03 |
Last Update Date | 2014-07-03 |