| NPI | 1982981510 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLARENCE LOFLIN Dentist 212-685-2890 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NY NY51198) |
| Enumeration Date | 2011-11-10 |
| Last Update Date | 2011-11-10 |