| NPI | 1578936571 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL MARSHALL President 212-488-7777 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: NY 045880) |
| Enumeration Date | 2015-11-12 |
| Last Update Date | 2015-11-12 |