| NPI | 1851464101 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNE O ROCK Front Desk 631-669-0107 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NY 034388) |
| Enumeration Date | 2006-11-16 |
| Last Update Date | 2008-06-23 |