| NPI | 1346661154 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARY JONH CUNNINGHAM General Dentistry 212-619-0971 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305S00000X Point of Service (Licence: NY 050825) |
| Enumeration Date | 2013-12-20 |
| Last Update Date | 2013-12-20 |