| NPI | 1386990828 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREW N. SACKSER Organizer 516-248-6018 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice |
| Additional Taxonomies | 122300000X Dentist |
| 124Q00000X Dental Hygienist | |
| Enumeration Date | 2012-08-02 |
| Last Update Date | 2012-08-02 |