| NPI | 1740261130 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT P LANE President And CEO 718-636-4700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NY 047164) |
| Enumeration Date | 2005-11-11 |
| Last Update Date | 2008-06-17 |