| NPI | 1710255831 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GEHAN ADAM President 917-547-4470 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IL 019027109) |
| Enumeration Date | 2011-12-03 |
| Last Update Date | 2011-12-03 |