| NPI | 1316285711 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREW SAROWITZ Member / Manager 718-293-1603 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: NY 055136) |
| Enumeration Date | 2013-01-21 |
| Last Update Date | 2013-03-18 |