| NPI | 1689838906 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LARISSA DAVIDS President/Orthodontist 718-275-2006 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: NY 048329) |
| Enumeration Date | 2008-07-16 |
| Last Update Date | 2008-07-16 |