| NPI | 1598914236 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIC GHERMAN Dentist/Partner 631-499-2112 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0300X Dentist, Periodontics (Licence: NY 035281) |
| Enumeration Date | 2008-09-18 |
| Last Update Date | 2008-09-18 |