NPI | 1043629454 |
---|---|
Entity Type | Organization |
Authorized Contact | GREGORY JAMES REINHOLD Doctor/Owner 631-728-1215 |
Organization Subpart ? | No |
Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: NY 053854) |
Enumeration Date | 2014-08-11 |
Last Update Date | 2014-08-11 |