NPI | 1033613112 |
---|---|
Doing Business As | LOVE MY SMILE DENTAL PC |
Entity Type | Organization |
Authorized Contact | CARLOS R ACOSTA General Dentist 718-205-2055 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: NY 046220-1) |
Enumeration Date | 2018-03-22 |
Last Update Date | 2018-03-22 |