NPI | 1255320305 |
---|---|
Entity Type | Organization |
Authorized Contact | ANA RIVERA Office Manager 718-562-1074 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NY 035661) |
Enumeration Date | 2005-10-20 |
Last Update Date | 2020-08-22 |