| NPI | 1003391186 |
|---|---|
| Doing Business As | OAKWOOD DENTAL ARTS BY THE MALL |
| Entity Type | Organization |
| Authorized Contact | TONI LYNN EGAN Credentialing Department 718-979-2121 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2018-09-25 |
| Last Update Date | 2018-09-25 |