| NPI | 1255346912 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN EDWARD PURPURA Owner/President 718-232-5413 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NY 043135) |
| Enumeration Date | 2006-07-30 |
| Last Update Date | 2007-12-21 |