| NPI | 1194149674 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREW MARON President 718-676-7700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: NY 043641) |
| Enumeration Date | 2014-02-05 |
| Last Update Date | 2014-02-05 |