| NPI | 1245498500 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONALD J. GUTMAN Owner 718-941-7400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NY 030845) |
| Enumeration Date | 2008-05-23 |
| Last Update Date | 2008-05-23 |