| NPI | 1851704233 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANE C RUTLEDGE Vice President/Secretary 516-220-3690 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: DE G10001239) |
| Enumeration Date | 2014-06-03 |
| Last Update Date | 2014-06-03 |