| NPI | 1053594150 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH PATRICK FEARON President 212-799-1199 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center Dental (Licence: NY 040719) |
| Enumeration Date | 2007-12-11 |
| Last Update Date | 2007-12-11 |