| NPI | 1336652593 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMARA MARSH President 718-466-4500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NY 058687) |
| Enumeration Date | 2017-11-09 |
| Last Update Date | 2017-11-10 |