| NPI | 1124334826 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSICA BARCESSAT Dentist 917-386-4336 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NY 054774-1) |
| Enumeration Date | 2010-08-19 |
| Last Update Date | 2011-05-20 |