| NPI | 1164767703 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SCOTT FRIEDMAN Partner 718-406-6229 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: NY 34366) |
| Enumeration Date | 2012-12-09 |
| Last Update Date | 2012-12-09 |