| NPI | 1558491837 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIA MACDONALD President 914-964-8148 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: NY 040105) |
| Enumeration Date | 2007-03-06 |
| Last Update Date | 2020-08-22 |