NPI | 1083027833 |
---|---|
Entity Type | Organization |
Authorized Contact | VINCENT A SETTECASE Owner 718-833-2880 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NY 045139) |
Additional Taxonomies | 1223E0200X Dentist, Endodontics (Licence: NY 045139) |
1223P0300X Dentist, Periodontics (Licence: NY 045139) | |
Enumeration Date | 2014-06-10 |
Last Update Date | 2014-06-10 |