| NPI | 1699252916 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HOWARD ROTH Pres. / Owner 718-824-2355 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NY 040164-1) |
| Enumeration Date | 2018-07-20 |
| Last Update Date | 2019-07-02 |