NPI | 1710072236 |
---|---|
Entity Type | Organization |
Authorized Contact | NEIL RICHARD GROSS President 212-753-8133 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NY 035274) |
Enumeration Date | 2006-10-03 |
Last Update Date | 2012-05-14 |