| NPI | 1295537546 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TEMA SUZANNE STARKMAN Owner 917-881-4706 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Additional Taxonomies | 261QM1300X Clinic/Center, Multi-Specialty |
| Enumeration Date | 2025-03-26 |
| Last Update Date | 2025-03-26 |