| NPI | 1992594907 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHERRY AVICZER Dentist 347-308-6888 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Additional Taxonomies | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2025-05-05 |
| Last Update Date | 2025-05-09 |