| NPI | 1003683210 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ARACELY DEL CARMEN RIVERA Office Administrator 845-880-7771 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery |
| Enumeration Date | 2023-12-07 |
| Last Update Date | 2023-12-07 |