NPI | 1245249598 |
---|---|
Entity Type | Organization |
Authorized Contact | PATRICIA M GAHLES Manager 718-622-2695 |
Organization Subpart ? | No |
Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: NY 046884) |
Enumeration Date | 2006-08-05 |
Last Update Date | 2020-08-22 |