NPI | 1992116990 |
---|---|
Doing Business As | BACH GRAZINA EAST END ORTHODONTICS |
Entity Type | Organization |
Authorized Contact | VICTOR J.R. GRAZINA Owner/Orthodontist 631-604-2206 |
Organization Subpart ? | No |
Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
Enumeration Date | 2014-05-13 |
Last Update Date | 2014-05-15 |