| NPI | 1851426654 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN DOUGLAS ASTON Dentist 718-772-6557 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NY 049962-1) |
| Enumeration Date | 2007-02-22 |
| Last Update Date | 2020-08-22 |