NPI | 1306989264 |
---|---|
Entity Type | Organization |
Authorized Contact | STEVEN H. GOLD President 718-897-2900 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NY 030166) |
Additional Taxonomies | 1223G0001X Dentist, General Practice |
Enumeration Date | 2007-02-14 |
Last Update Date | 2012-07-31 |