| NPI | 1932374337 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACK STUART KAMINSKY Partner 212-355-2290 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NY 036746) |
| Additional Taxonomies | 1223P0300X Dentist, Periodontics (Licence: NY 0498601) |
| Enumeration Date | 2008-04-25 |
| Last Update Date | 2008-04-25 |