NPI | 1225800923 |
---|---|
Entity Type | Organization |
Authorized Contact | ALEDY M MORETA ABREU Owner Dentist 929-228-8279 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Additional Taxonomies | 122300000X Dentist |
Enumeration Date | 2023-10-25 |
Last Update Date | 2024-08-24 |