| NPI | 1891994356 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VALENTINA PEACHWAY President/ Chief Periodontist 718-375-9090 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0300X Dentist, Periodontics (Licence: NY 044277) |
| Enumeration Date | 2007-07-15 |
| Last Update Date | 2007-07-15 |