| NPI | 1952652182 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARLENE REYNOLDS-COX Owner 718-723-5656 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NY 043356) |
| Enumeration Date | 2012-09-27 |
| Last Update Date | 2012-09-27 |