| NPI | 1083467864 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AGATA A BARTELS Manager 646-369-4221 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2024-04-10 |
| Last Update Date | 2024-04-10 |