| NPI | 1417825985 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CONNOR MCDIARMID Director Of Operations 631-649-7269 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223P0221X Dentist Pediatric Dentistry |
| Enumeration Date | 2025-10-27 |
| Last Update Date | 2025-10-27 |