| NPI | 1013184613 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MILADYS A HERNANDEZ Dentist 718-847-8807 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NY 044986) |
| Enumeration Date | 2008-05-13 |
| Last Update Date | 2008-05-13 |