| NPI | 1902933609 |
|---|---|
| Doing Business As | FAMILY PRACTICE DENTISTRY & LASER DENTAL CARE LLC |
| Entity Type | Organization |
| Authorized Contact | PETER J HEALY Partner 718-892-7114 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: CT 008202) |
| Enumeration Date | 2007-02-28 |
| Last Update Date | 2008-08-12 |