| NPI | 1598997900 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT SERINO President 631-928-8585 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry |
| Additional Taxonomies | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| 124Q00000X Dental Hygienist | |
| Enumeration Date | 2009-08-18 |
| Last Update Date | 2009-08-18 |