| NPI | 1568736429 |
|---|---|
| Doing Business As | MT. KISCO PEDIATRIC DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | LOAN S MAO Dentist 510-725-2172 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist Pediatric Dentistry (Licence: NY 054287) |
| Enumeration Date | 2012-02-23 |
| Last Update Date | 2012-02-23 |