| NPI | 1609904846 |
|---|---|
| Other Name | DEPARTMENT OF DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | GARY A. STEPHENS Chief Medical Officer 718-250-6948 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Enumeration Date | 2007-03-01 |
| Last Update Date | 2016-01-08 |