| NPI | 1316325202 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GLEN EHRENMAN Pediatric Dentist 516-333-3033 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: NY 50077) |
| Enumeration Date | 2015-05-11 |
| Last Update Date | 2016-03-21 |