| NPI | 1750553731 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD A ROSEN Owner 718-834-1446 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NY 050696) |
| Enumeration Date | 2008-03-30 |
| Last Update Date | 2008-03-30 |