| NPI | 1326168659 |
|---|---|
| Doing Business As | GROUP HEALTH DENTAL FACILITY |
| Entity Type | Organization |
| Authorized Contact | CARL CARAVANA Owner 212-398-9690 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: NY 38468) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: NY 38468) |
| 1223P0300X Dentist, Periodontics (Licence: NY 38468) | |
| Enumeration Date | 2007-03-30 |
| Last Update Date | 2020-08-22 |