| NPI | 1154741940 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS SHELWAH HOM President/Owner 212-732-1329 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: NY 032253) |
| Enumeration Date | 2014-04-21 |
| Last Update Date | 2014-04-21 |