| NPI | 1619008463 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENISE L EMMA Owner 516-223-9070 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: NY 044925) |
| Enumeration Date | 2007-03-07 |
| Last Update Date | 2020-08-22 |