| NPI | 1265242341 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREW V DANBERG-FICARELLI Pediatric Dentist 917-575-5280 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry |
| Enumeration Date | 2025-01-10 |
| Last Update Date | 2025-01-10 |