| NPI | 1831663202 |
|---|---|
| Doing Business As | RALPH AVENUE DENTAL |
| Entity Type | Organization |
| Authorized Contact | HOUSSAM ALKHOURY Member 718-531-0300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2019-01-17 |
| Last Update Date | 2019-01-17 |