| NPI | 1528359692 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNA MILLER Billing Coordinator 212-241-2375 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery |
| Enumeration Date | 2011-04-25 |
| Last Update Date | 2011-04-25 |