| NPI | 1548484322 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLIFFORD EDWARD DEGEL President 718-278-1123 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NY 042417) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: NY 043236) |
| Enumeration Date | 2007-04-12 |
| Last Update Date | 2016-02-03 |