NPI | 1700095239 |
---|---|
Entity Type | Organization |
Authorized Contact | JAMES M HENSLEY Partner 516-378-2345 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NY 047454) |
Enumeration Date | 2007-05-22 |
Last Update Date | 2020-08-22 |