| NPI | 1679614184 |
|---|---|
| Former Legal Business Name | THE DENTAL OFFICE ON 125TH STREET |
| Entity Type | Organization |
| Authorized Contact | MOREY FURMAN President 516-484-7420 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NY 038476) |
| Enumeration Date | 2007-02-08 |
| Last Update Date | 2009-07-28 |