| NPI | 1922264621 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NAYAT BOSTANCI Dentist/Owner 631-273-8111 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NY 050187) |
| Enumeration Date | 2008-08-01 |
| Last Update Date | 2008-08-01 |