NPI | 1063291888 |
---|---|
Entity Type | Organization |
Authorized Contact | ALEJANDRO WILLIAMS Owner 718-294-3725 |
Organization Subpart ? | No |
Primary Taxonomy | 261QS0112X Clinic/Center, Oral and Maxillofacial Surgery |
Enumeration Date | 2023-09-22 |
Last Update Date | 2023-09-22 |