| NPI | 1720156870 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL R DAGOSTINO Director Of Dental And Oral Med 718-209-8500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: NY 049832-1) |
| Additional Taxonomies | 122300000X Dentist (Licence: NY 049803-1) |
| 1223P0700X Dentist, Prosthodontics (Licence: NY 047926-1) | |
| Enumeration Date | 2006-11-30 |
| Last Update Date | 2008-03-20 |