NPI | 1295123537 |
---|---|
Doing Business As | STAT DENTAL PC |
Entity Type | Organization |
Authorized Contact | ERROL LADER Dentist/Owner 631516-795-7500 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: NY 030670-1) |
Enumeration Date | 2015-01-08 |
Last Update Date | 2015-01-12 |