| NPI | 1942413323 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAWRENCE PHILLIPS President 516-485-2782 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NY 046479) |
| Enumeration Date | 2007-05-08 |
| Last Update Date | 2011-01-26 |