| NPI | 1174656946 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONALD GOLDSCHEIN President 718-438-3701 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Additional Taxonomies | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| 1223P0300X Dentist, Periodontics | |
| Enumeration Date | 2007-03-13 |
| Last Update Date | 2016-05-31 |