| NPI | 1285921098 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENNETH JAMES SOAPES Owner 212-535-5577 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: PA DS022465L) |
| Enumeration Date | 2011-06-30 |
| Last Update Date | 2011-11-02 |