| NPI | 1992236103 |
|---|---|
| Doing Business As | EAST VILLAGE DENTAL CENTER |
| Entity Type | Organization |
| Authorized Contact | ELIAZ KAUFMAN Owner 201-310-0289 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NY 49860) |
| Additional Taxonomies | 1223P0300X Dentist, Periodontics (Licence: NY 49860) |
| Enumeration Date | 2017-03-21 |
| Last Update Date | 2017-03-21 |