NPI | 1407445620 |
---|---|
Entity Type | Organization |
Authorized Contact | THOMAS JOHN SCHAFFER President 718-644-0622 |
Organization Subpart ? | No |
Primary Taxonomy | 1223D0004X Dentist, Dentist Anesthesiologist Speciality |
Enumeration Date | 2021-01-12 |
Last Update Date | 2021-01-12 |