| NPI | 1689848921 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CRAIG ROSENBAUM Partner 718-899-4455 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NY 043046) |
| Enumeration Date | 2008-04-17 |
| Last Update Date | 2008-04-17 |