NPI | 1942077706 |
---|---|
Doing Business As | MH DENTAL ASTORIA |
Entity Type | Organization |
Authorized Contact | MATTHEW HAUSSERMAN Dentist/Owner 917-217-3179 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
Enumeration Date | 2023-12-11 |
Last Update Date | 2023-12-11 |