| NPI | 1942525985 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSHUA BARNETT President 267-266-5366 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NY 052276-1) |
| Enumeration Date | 2010-04-01 |
| Last Update Date | 2010-04-01 |