| 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 |