| NPI | 1831699347 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAIME BREMNES Owner / Dentist 516-554-3346 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: NY 054015) |
| Enumeration Date | 2018-02-20 |
| Last Update Date | 2018-02-20 |