| NPI | 1114267283 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LIGIA V STATE Dentist 917-815-5767 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NY 052176) |
| Enumeration Date | 2013-02-26 |
| Last Update Date | 2013-02-26 |