| 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 |