| NPI | 1790379667 |
|---|---|
| Doing Business As | NORTHSTAR IMPLANT DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | PETER KAMPF President 631-315-1400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2021-02-22 |
| Last Update Date | 2021-02-22 |