| NPI | 1528274602 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONALD S HECKER Pres 718-236-7005 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Additional Taxonomies | 261QD0000X Clinic/Center, Dental (Licence: NY 33251) |
| Enumeration Date | 2007-05-15 |
| Last Update Date | 2016-01-13 |