| NPI | 1770885824 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRUCE L GREENBERG President/Owner 212-319-9777 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: NY 040270) |
| Enumeration Date | 2010-11-23 |
| Last Update Date | 2010-11-23 |