NPI | 1003182874 |
---|---|
Entity Type | Organization |
Authorized Contact | JANET STOESS-ALLEN Owner 212-452-2777 |
Organization Subpart ? | No |
Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: NY 040533) |
Enumeration Date | 2012-03-27 |
Last Update Date | 2012-03-27 |