| NPI | 1366836520 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GEORGE XENAKIS General Manager 212-643-0927 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: NJ 22DI01715600) |
| Enumeration Date | 2015-03-26 |
| Last Update Date | 2015-07-28 |