| NPI | 1083898670 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VALERIE VENTERINA President/Owner 718-232-8289 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NY 036126) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: NY 17121) |
| 1223P0300X Dentist, Periodontics (Licence: NY 033102) | |
| Enumeration Date | 2007-12-19 |
| Last Update Date | 2007-12-19 |