| NPI | 1508124033 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARJORIE MCDONALD General Dentist 718-338-8900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NY 41875) |
| Enumeration Date | 2012-05-03 |
| Last Update Date | 2012-10-10 |