| NPI | 1992201271 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SCOTT MATEER President 516-541-9396 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: NY 054930-1) |
| Enumeration Date | 2018-04-04 |
| Last Update Date | 2018-04-04 |