| NPI | 1871713438 |
|---|---|
| Doing Business As | NYU DENTAL FACULTY PRACTICE NORTH |
| Entity Type | Organization |
| Authorized Contact | ROBERT S GLICKMAN Assoc Dean Clinical Affairs 122-443-1322 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: NY 021314-2) |
| Additional Taxonomies | 122300000X Dentist |
| Enumeration Date | 2007-04-26 |
| Last Update Date | 2019-09-24 |