NPI | 1144759713 |
---|---|
Entity Type | Organization |
Authorized Contact | ANGELICA SILIVRIA President 414-324-3242 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NY 056369) |
Enumeration Date | 2017-06-07 |
Last Update Date | 2017-06-07 |