| NPI | 1215028428 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARITO DELA CRUZ MORADA Office Manager 212-581-3030 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NY 0432701) |
| Enumeration Date | 2006-09-27 |
| Last Update Date | 2020-08-22 |