NPI | 1366613499 |
---|---|
Entity Type | Organization |
Authorized Contact | STEVEN D KANTOR Owner 718-365-6389 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NY 029527) |
Enumeration Date | 2008-03-17 |
Last Update Date | 2008-06-13 |