| NPI | 1225200504 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELVIN RIVERA Owner 718-418-4527 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NY 049833-1) |
| Enumeration Date | 2008-03-27 |
| Last Update Date | 2008-03-27 |