| NPI | 1043675424 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HOWARD A POPPER Owner/Periodontist 631-385-9400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0700X Dentist, Prosthodontics (Licence: NY 049725) |
| Enumeration Date | 2015-12-29 |
| Last Update Date | 2015-12-29 |