| NPI | 1528842424 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPHINE KORLEI MENSAH Pediatric Dentist 914-294-4991 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry |
| Enumeration Date | 2023-08-22 |
| Last Update Date | 2023-08-22 |