NPI | 1093422586 |
---|---|
Doing Business As | MATHEW DENTAL GROUP |
Entity Type | Organization |
Authorized Contact | JULIE MATHEW Owner Dentist 631-724-9700 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Enumeration Date | 2022-11-03 |
Last Update Date | 2022-11-03 |