| NPI | 1053509687 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBORAH ANNE GRIES President 718-761-7316 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist Pediatric Dentistry (Licence: NY 0425291) |
| Enumeration Date | 2007-10-09 |
| Last Update Date | 2007-10-09 |