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 | 124Q00000X Dental Hygienist |
122300000X Dentist | |
Enumeration Date | 2012-08-02 |
Last Update Date | 2012-08-02 |