| NPI | 1205022829 |
|---|---|
| Other Name | CENTER FOR ADVANCED DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | ROSEANNE CARROLL Office Manager 516-683-0888 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2007-09-18 |
| Last Update Date | 2007-09-18 |