| NPI | 1821526013 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINA VOURTSIS Owner/Dentist 917-209-1933 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NY 053019) |
| Enumeration Date | 2017-06-01 |
| Last Update Date | 2017-06-01 |