| NPI | 1932371853 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE TRACHTENBERG President 718-998-5111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NY 047373) |
| Enumeration Date | 2008-04-01 |
| Last Update Date | 2008-04-01 |