| NPI | 1942748595 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MINDA R SAPIR CEO 516-306-4738 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MA DN1856886) |
| Additional Taxonomies | 1223P0221X Dentist, Pediatric Dentistry (Licence: MA DN1856887) |
| Enumeration Date | 2017-02-03 |
| Last Update Date | 2017-02-03 |