| NPI | 1508098971 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER JOSEPH LANE Owner 914-946-1249 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist Oral and Maxillofacial Surgery (Licence: NY 042192) |
| Enumeration Date | 2009-08-18 |
| Last Update Date | 2009-08-18 |