| NPI | 1235157058 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT CHARLES DOHT Dentist/ Owner 631-231-8500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: NY 045461) |
| Enumeration Date | 2006-07-18 |
| Last Update Date | 2022-02-28 |