| NPI | 1245571736 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HANSEL GONZALEZ President 347-276-5938 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: FL DN19852) |
| Enumeration Date | 2013-03-07 |
| Last Update Date | 2013-03-07 |