| NPI | 1992968135 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SETH MALTZ Oral Surgeon 718-272-8300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: NY 045815) |
| Enumeration Date | 2008-07-08 |
| Last Update Date | 2008-07-08 |