| NPI | 1609317478 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KASIA PELKA Business Manager 914-588-2472 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: PA DS039116) |
| Enumeration Date | 2017-03-13 |
| Last Update Date | 2017-03-13 |