| NPI | 1588879530 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN ANTHONY FESTA Partner 718-429-6116 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NY 040213) |
| Additional Taxonomies | 1223P0221X Dentist, Pediatric Dentistry (Licence: NY 34936) |
| 1223P0221X Dentist, Pediatric Dentistry (Licence: NY 26422) | |
| Enumeration Date | 2007-05-13 |
| Last Update Date | 2020-08-22 |