| NPI | 1801404231 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASON MICHAEL AUERBACH Owner 917-538-7853 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery |
| Enumeration Date | 2020-07-22 |
| Last Update Date | 2020-07-22 |