| NPI | 1699225078 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMANTHA BROOKE RAWDIN Associate, Prosthodontist 212-247-4194 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center Dental (Licence: NY 058826) |
| Enumeration Date | 2016-10-10 |
| Last Update Date | 2016-10-10 |