| NPI | 1780850073 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL I ROSEN General Dentist 718-291-9456 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NY 031862) |
| Enumeration Date | 2008-05-06 |
| Last Update Date | 2008-05-06 |