NPI | 1609151455 |
---|---|
Entity Type | Organization |
Authorized Contact | SARAH DENISE HUBERT Owner 347-403-9930 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NY 053536) |
Enumeration Date | 2011-10-12 |
Last Update Date | 2011-10-12 |