| NPI | 1366638397 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PETER E PROTZEL Owner 516-735-6505 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: NY 047168) |
| Enumeration Date | 2007-09-24 |
| Last Update Date | 2009-03-13 |