| NPI | 1891185245 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL P SYMEONIDES President 917-697-0845 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Additional Taxonomies | 1223S0112X Dentist, Oral and Maxillofacial Surgery |
| 124Q00000X Dental Hygienist | |
| Enumeration Date | 2015-01-23 |
| Last Update Date | 2015-01-23 |