| NPI | 1316104540 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL M WOLOCH President 212-685-3212 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0700X Dentist, Prosthodontics (Licence: NY 034362) |
| Enumeration Date | 2008-05-16 |
| Last Update Date | 2008-05-16 |