| NPI | 1093195562 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KARL DANIEL MALONEY LLC Member 917-297-7600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: NJ 22DI02373700) |
| Enumeration Date | 2015-05-31 |
| Last Update Date | 2015-05-31 |