| NPI | 1659472561 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAUN GRENVILLE MASSIAH Owner Dentist 212-222-5225 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NY 047413) |
| Enumeration Date | 2006-09-25 |
| Last Update Date | 2014-09-09 |