| NPI | 1588049670 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAISH JOHN MARKOS Owner 914-402-6980 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: NY 053850) |
| Enumeration Date | 2015-07-30 |
| Last Update Date | 2015-07-30 |