| NPI | 1942997135 |
|---|---|
| Doing Business As | GEN Z DENTISTRY |
| Former Legal Business Name | 37TH STREET DENTISTRY PLLC |
| Doing Business As | GENZ DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | ELHAM SHADPOUR Dentist 718-689-6060 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2023-04-19 |
| Last Update Date | 2023-04-19 |