| NPI | 1538539986 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSICA LOO MARN Pediatric Dentist/President 212-965-8113 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry |
| Enumeration Date | 2015-09-29 |
| Last Update Date | 2015-09-29 |