| NPI | 1063794618 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELLIOT PAUL SCHLANG Dental Director 888-833-8441 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: NY 7003272R) |
| Enumeration Date | 2011-09-09 |
| Last Update Date | 2011-09-19 |