| NPI | 1417052192 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARC B RICHLING Owner/Dentist 631-744-0202 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NY 035186) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: NY 029486) |
| 1223G0001X Dentist, General Practice (Licence: NY 029566) | |
| Enumeration Date | 2006-09-14 |
| Last Update Date | 2020-08-22 |