| NPI | 1437534708 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HEATHER BALLENTINE Dentist Anesthesiologist 646-789-3860 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223D0004X Dentist, Dentist Anesthesiologist Speciality |
| Enumeration Date | 2015-07-28 |
| Last Update Date | 2015-07-28 |