NPI | 1740541358 |
---|---|
Entity Type | Organization |
Authorized Contact | MICHAEL PIKUS Owner 1516-441-5152 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist |
Additional Taxonomies | 1223E0200X Dentist, Endodontics |
1223G0001X Dentist, General Practice | |
1223P0221X Dentist, Pediatric Dentistry | |
1223P0300X Dentist, Periodontics | |
1223P0700X Dentist, Prosthodontics | |
1223S0112X Dentist, Oral and Maxillofacial Surgery | |
1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics | |
122400000X Denturist | |
124Q00000X Dental Hygienist | |
Enumeration Date | 2012-05-31 |
Last Update Date | 2012-05-31 |