| NPI | 1831339621 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IRWIN KOLIN Owner 718-622-6741 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: NY 21520) |
| Enumeration Date | 2009-03-06 |
| Last Update Date | 2009-03-06 |