| NPI | 1073503215 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALAN MASKELL President 718-387-1365 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: NY 026738) |
| Enumeration Date | 2005-10-27 |
| Last Update Date | 2012-06-11 |