| NPI | 1225436595 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HARRY J TSOTSOS Orthodontist 516-221-0925 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist Orthodontics and Dentofacial Orthopedics (Licence: NY 043-144) |
| Enumeration Date | 2014-12-18 |
| Last Update Date | 2014-12-18 |