| NPI | 1770935710 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN E POWE President 347-909-2101 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CT 010779) |
| Additional Taxonomies | 1223D0004X Dentist, Dentist Anesthesiologist Speciality (Licence: CT 10779) |
| Enumeration Date | 2016-07-01 |
| Last Update Date | 2016-07-11 |