| NPI | 1952423725 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL FLETCHER Periodontist 914-253-8020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0300X Dentist, Periodontics (Licence: NY 31144) |
| Enumeration Date | 2007-04-04 |
| Last Update Date | 2020-08-22 |