| NPI | 1861327736 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID COLEMAN Owner 917-574-4914 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2026-06-15 |
| Last Update Date | 2026-07-24 |