| NPI | 1942995048 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMEIKA BUMBURY Owner 646-203-9484 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center Health Service |
| Additional Taxonomies | 124Q00000X Dental Hygienist |
| 125K00000X Advanced Practice Dental Therapist | |
| 174400000X Specialist | |
| Enumeration Date | 2023-04-06 |
| Last Update Date | 2023-04-06 |