| NPI | 1083952378 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRANKLIN L MARTINEZ Member 646-353-6412 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CT 010372) |
| Enumeration Date | 2013-01-22 |
| Last Update Date | 2013-01-22 |