| NPI | 1194832253 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIC T GOTT Dentist/Partner 516-781-9700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MA 043797) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: KY 036006) |
| Enumeration Date | 2006-08-24 |
| Last Update Date | 2008-06-18 |