| NPI | 1063624518 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL S. KING Owner 212-986-2039 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist Pediatric Dentistry (Licence: NY 0033401) |
| Enumeration Date | 2007-05-05 |
| Last Update Date | 2020-08-22 |