NPI | 1609023738 |
---|---|
Entity Type | Organization |
Authorized Contact | ADAM LYLE ZATCOFF President 516-352-8282 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: NY 051010) |
Enumeration Date | 2008-08-20 |
Last Update Date | 2008-08-20 |