| NPI | 1487926200 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIO TUCHMAN President 646-874-4004 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: NY 054229) |
| Enumeration Date | 2012-02-09 |
| Last Update Date | 2017-03-09 |