| NPI | 1023461241 |
|---|---|
| Doing Business As | FIFTY-SEVEN 57 DENTAL |
| Entity Type | Organization |
| Authorized Contact | JENNIFER N REYES Dentist 212-935-0719 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: NY 055865) |
| Enumeration Date | 2016-07-22 |
| Last Update Date | 2016-07-22 |