| NPI | 1932266566 |
|---|---|
| Doing Business As | MARINE DENTAL SERVICES |
| Entity Type | Organization |
| Authorized Contact | JACK MICELI President 718-987-6543 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NY 39067) |
| Enumeration Date | 2007-01-02 |
| Last Update Date | 2010-02-23 |