| NPI | 1144517525 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LIBIA R JIMENEZ President 212-668-9532 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NY 045307-1) |
| Enumeration Date | 2011-07-06 |
| Last Update Date | 2011-07-06 |