| NPI | 1780990184 |
|---|---|
| Doing Business As | MONSEY PEDIATRIC DENTAL CARE PEDIATRIC DENTISTRY OF MONSEY |
| Entity Type | Organization |
| Authorized Contact | KENNETH MICHAEL SIMCKES President 845-354-1441 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry |
| Additional Taxonomies | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2010-08-23 |
| Last Update Date | 2010-08-23 |