| NPI | 1598181604 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARA ROSENBERG Manager 646-320-8247 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: NY 031496) |
| Enumeration Date | 2014-03-13 |
| Last Update Date | 2014-03-13 |