NPI | 1154455624 |
---|---|
Entity Type | Organization |
Authorized Contact | TIMOTHY RADIN Partner 212-753-3117 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NY 044918) |
Enumeration Date | 2007-03-15 |
Last Update Date | 2020-08-22 |