| NPI | 1114478815 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASON SAUER Owner 914-948-7177 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Additional Taxonomies | 122300000X Dentist (Licence: NY 049443) |
| 1223P0300X Dentist, Periodontics (Licence: NY 028955) | |
| 1223P0700X Dentist, Prosthodontics (Licence: NY 051447) | |
| 1223P0700X Dentist, Prosthodontics (Licence: NY 029919) | |
| Enumeration Date | 2016-10-18 |
| Last Update Date | 2016-10-18 |