| NPI | 1164877288 |
|---|---|
| Doing Business As | INTEGRATEDDENTAL |
| Entity Type | Organization |
| Authorized Contact | ADAM RICHICHI Chief Operating Officer 516-677-9010 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NY 054399) |
| Enumeration Date | 2016-04-26 |
| Last Update Date | 2016-04-26 |