| NPI | 1942543210 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOS IOANNOU Owner 516-761-2938 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: NY 053189) |
| Enumeration Date | 2013-04-04 |
| Last Update Date | 2013-04-04 |