| NPI | 1932438926 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID GOTTESFELD President 516-623-1617 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: NY 27531) |
| Enumeration Date | 2009-12-22 |
| Last Update Date | 2009-12-22 |