| NPI | 1386065597 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PETER EVAN FEIBISH Owner 718-595-0050 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2013-12-16 |
| Last Update Date | 2013-12-16 |