| NPI | 1275059669 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALLA HART Owner/Dentist 516-395-5514 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: NY 046782-1) |
| Additional Taxonomies | 122300000X Dentist (Licence: NY 058786) |
| Enumeration Date | 2017-08-17 |
| Last Update Date | 2017-08-25 |