| NPI | 1861130122 |
|---|---|
| Doing Business As | GRAMERCY DENTAL SUITE |
| Entity Type | Organization |
| Authorized Contact | MATTHEW EDWARDS Owner 347-903-7277 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Enumeration Date | 2022-05-25 |
| Last Update Date | 2022-05-25 |