| NPI | 1619068566 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURENCE M TEPPER President 212-717-7710 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NY 028680) |
| Enumeration Date | 2006-09-27 |
| Last Update Date | 2020-08-22 |