| NPI | 1235478686 |
|---|---|
| Doing Business As | RELIABLE DENTAL CARE |
| Entity Type | Organization |
| Authorized Contact | LON POLVERARI Owner 917-656-0798 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CT 007375) |
| Additional Taxonomies | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: CT 010946) |
| Enumeration Date | 2013-02-05 |
| Last Update Date | 2013-12-23 |