NPI | 1356091516 |
---|---|
Entity Type | Organization |
Authorized Contact | MICHELE L CUSACK Senior Vice President & CFO 516-321-6058 |
Organization Subpart ? | No |
Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery |
Enumeration Date | 2022-03-28 |
Last Update Date | 2022-03-28 |