| NPI | 1194872556 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEFA ALTAGRACIA PARRA LEVIN General Dentist 718-384-4009 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NY 042625) |
| Enumeration Date | 2007-01-05 |
| Last Update Date | 2020-08-22 |