| NPI | 1902199870 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM ELIADES Owner 718-278-5700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NY 037540) |
| Enumeration Date | 2011-05-25 |
| Last Update Date | 2011-05-25 |