| NPI | 1093122517 |
|---|---|
| Doing Business As | COLISEUM DENTAL |
| Entity Type | Organization |
| Authorized Contact | MAIA BERGER Dentist 212-757-3183 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NY 051386) |
| Enumeration Date | 2014-07-16 |
| Last Update Date | 2014-07-16 |