| NPI | 1972261212 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS PLANZOS Owner 718-833-0672 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2021-12-03 |
| Last Update Date | 2021-12-03 |