| NPI | 1952584302 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREW PHILIP MARKS President 718-342-3909 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: NY 36194) |
| Enumeration Date | 2007-12-07 |
| Last Update Date | 2007-12-07 |