| NPI | 1134372196 |
|---|---|
| Former Legal Business Name | NO |
| Entity Type | Organization |
| Authorized Contact | FRANKLIN FELIPE FERNANDEZ General Dentist 718-456-0751 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NY 045733-1) |
| Enumeration Date | 2008-11-03 |
| Last Update Date | 2008-11-03 |