| NPI | 1407066517 |
|---|---|
| Doing Business As | NEW YORK DENTAL SPECIALTY GROUP |
| Entity Type | Organization |
| Authorized Contact | BENJAMIN P GANJIAN CEO 212-799-5310 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 122300000X Dentist (Licence: NY 050559) |
| Additional Taxonomies | 1223E0200X Dentist, Endodontics (Licence: NY 055832) |
| 1223P0221X Dentist, Pediatric Dentistry (Licence: NY 053917) | |
| 1223P0300X Dentist, Periodontics (Licence: NY 054071) | |
| 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: NY 051965) | |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2017-05-08 |