| NPI | 1689904138 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LYNN ROBERTSON Dentist 212-221-0322 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NY 052748) |
| Enumeration Date | 2010-01-06 |
| Last Update Date | 2010-01-06 |