| NPI | 1811169535 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSICA LOO MARN Pediatric Dentist / Business Owner 212-965-8113 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2008-04-02 |
| Last Update Date | 2008-04-09 |