| NPI | 1407031867 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRETT KING Member 212-267-3300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: NY 051457) |
| Enumeration Date | 2008-01-04 |
| Last Update Date | 2008-01-04 |