| NPI | 1104353275 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID DANIEL Dentist, Owner 646-509-4138 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MD 15214) |
| Enumeration Date | 2017-05-18 |
| Last Update Date | 2022-07-21 |