| NPI | 1770131922 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDERSON T HUANG Partner 516-482-5888 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Additional Taxonomies | 1223D0001X Dentist, Dental Public Health |
| Enumeration Date | 2019-08-30 |
| Last Update Date | 2019-08-30 |