| NPI | 1831631381 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRADFORD WASHINGTON Owner 914-821-5400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist Orthodontics and Dentofacial Orthopedics (Licence: NY 056598) |
| Enumeration Date | 2016-11-15 |
| Last Update Date | 2016-11-16 |