| NPI | 1801294335 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROD STERN Pediatric Dentist 516-487-5437 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: NY 056227) |
| Enumeration Date | 2014-12-16 |
| Last Update Date | 2018-07-18 |