| NPI | 1144604067 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELAINE ANNE GONZALES President 212-260-6106 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NY 051798) |
| Enumeration Date | 2015-07-10 |
| Last Update Date | 2015-07-10 |