| NPI | 1033227798 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FABIO GERARDO CORDERO President 718-533-1515 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NY 041162) |
| Enumeration Date | 2006-08-25 |
| Last Update Date | 2008-03-26 |