| NPI | 1801067715 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KARLA WENDY ISAACS Orthodontist 718-220-2030 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: NY 047607) |
| Enumeration Date | 2008-03-19 |
| Last Update Date | 2008-03-19 |