NPI | 1386961027 |
---|---|
Doing Business As | NOW DENTAL OF SUFFOLK |
Entity Type | Organization |
Authorized Contact | RICHARD J KLEIN President 631-360-8000 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: NY 035156) |
Additional Taxonomies | 122300000X Dentist (Licence: NY 038661) |
122300000X Dentist (Licence: NY 054041) | |
1223E0200X Dentist, Endodontics (Licence: NY 052370) | |
1223P0300X Dentist, Periodontics (Licence: NY 043896) | |
1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: NY 032691) | |
Enumeration Date | 2010-04-20 |
Last Update Date | 2010-04-20 |