| NPI | 1063797009 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WASCAR ALEXI RAMIREZ Owner 718-760-3417 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NY 0484861) |
| Enumeration Date | 2011-10-20 |
| Last Update Date | 2011-10-20 |