| NPI | 1598038440 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAWN MARIE FELICETTI Pediatric Dentist 516-795-5939 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: NY 048223) |
| Enumeration Date | 2012-02-22 |
| Last Update Date | 2012-02-22 |