| NPI | 1245313204 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM ALFONSO LIMONGELLI Owner 347-865-2729 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist Oral and Maxillofacial Surgery |
| Enumeration Date | 2006-10-23 |
| Last Update Date | 2020-08-22 |