| NPI | 1811103450 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EUGENE BURBACKI Owner 212-426-8200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NY 043058) |
| Enumeration Date | 2007-05-14 |
| Last Update Date | 2007-07-23 |