NPI | 1104198407 |
---|---|
Entity Type | Organization |
Authorized Contact | SERGIO MOLINARO President/Owner 718-845-4242 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: NY 044477) |
Enumeration Date | 2012-02-01 |
Last Update Date | 2012-02-01 |