| NPI | 1093529604 |
|---|---|
| Former Legal Business Name | AURA DENTAL FAMILY PRACTICE LLC |
| Entity Type | Organization |
| Authorized Contact | GLADYSBEL NMN JIMENEZ Dentist 347-485-3317 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2025-02-04 |
| Last Update Date | 2025-03-12 |