| NPI | 1528159779 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH FEARON President 212-799-1199 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NY 040719) |
| Enumeration Date | 2006-09-27 |
| Last Update Date | 2020-08-22 |