| NPI | 1235506056 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURA ZANELLI Owner/President 631-271-9199 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NY 046213) |
| Enumeration Date | 2015-08-27 |
| Last Update Date | 2015-08-27 |