| NPI | 1619154754 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SETH KLEINROCK Owner 516-593-1079 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2008-01-30 |
| Last Update Date | 2008-01-30 |