| NPI | 1679223747 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIC P. GIBBS Owner/Dentist 212-535-4111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2022-03-24 |
| Last Update Date | 2022-03-24 |