| NPI | 1356885065 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HELAMAN ERICKSON Owner/Surgeon 646-784-6987 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: TX 24141) |
| Enumeration Date | 2016-12-14 |
| Last Update Date | 2016-12-14 |