| NPI | 1851264188 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW GIDALY Owner/Partner 516-848-6762 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2025-09-24 |
| Last Update Date | 2025-09-24 |