| NPI | 1851693196 |
|---|---|
| Doing Business As | DENTAL OFFICE |
| Entity Type | Organization |
| Authorized Contact | MARC ERIC WEBER President 718-668-2900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NY 50044210) |
| Enumeration Date | 2010-11-18 |
| Last Update Date | 2010-11-18 |