| NPI | 1144489121 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD A HAIMES Oral Surgeon 631-665-3131 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: NY 031996) |
| Enumeration Date | 2008-06-05 |
| Last Update Date | 2008-06-05 |