| NPI | 1003081894 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LILIA CARDONA President 718-458-4516 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NY 044316-1) |
| Enumeration Date | 2008-04-23 |
| Last Update Date | 2008-04-23 |