122300000X
Glendale, NY
Specialty
122300000X
Credential
D.D.S.
NPI
1720142011
8340 Woodhaven Blvd, Glendale, NY 11385
(718) 850-4368Confirm current license and practice information on the official CMS NPI registry.
View NPI RecordThis surgeon specializes in 122300000x procedures performed in an outpatient ambulatory surgical setting.
NUCC Taxonomy: 122300000X