NPI | 1972937613 |
---|---|
Doing Business As | ORAL & MAXILLOFACIAL SURGERY & DENTISTRY |
Entity Type | Organization |
Authorized Contact | CHRISTOPHER T. KELLS Associate Director Pobo 212-590-5741 |
Organization Subpart ? | No |
Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery |
Enumeration Date | 2013-08-29 |
Last Update Date | 2013-08-29 |