| NPI | 1205273224 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GARY HEITZLER Owner 914-378-7848 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: NY 044619) |
| Enumeration Date | 2013-05-31 |
| Last Update Date | 2013-05-31 |