| NPI | 1225216229 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EVELYN R TEJEDA Physician 914-420-7941 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: NY 046830) |
| Enumeration Date | 2008-02-01 |
| Last Update Date | 2008-02-01 |