| NPI | 1447460365 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EUGENE SIMONS President 516-746-5050 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: NY 050782) |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2020-08-22 |