| NPI | 1538229539 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OWEN JONES Communication Official Appointed 646-706-7353 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: NY BM051437) |
| Enumeration Date | 2006-12-11 |
| Last Update Date | 2012-05-22 |