| NPI | 1770023418 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THEODORE WOHL Orthodontist 718-246-7846 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2017-02-28 |
| Last Update Date | 2017-02-28 |