| NPI | 1174020887 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIVEL ARROYO Dental Residency Coordinator 718-901-8410 |
| Organization Subpart ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2018-04-09 |
| Last Update Date | 2018-04-09 |