| NPI | 1013499052 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID JANASH President And CEO 917-915-4504 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223D0001X Dentist, Dental Public Health (Licence: NY 051610) |
| Enumeration Date | 2018-09-06 |
| Last Update Date | 2018-09-06 |