| NPI | 1730338369 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONNIE MYERS Associate Dean For Clinical Affairs 212-305-5686 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2008-09-18 |
| Last Update Date | 2008-09-18 |