| NPI | 1295289510 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN JOSEPH MOSS Owner 212-688-1873 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: NY 022595) |
| Enumeration Date | 2016-08-04 |
| Last Update Date | 2016-08-04 |