| NPI | 1255504569 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANIBAL ROMERO Dentist 718-426-3434 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Additional Taxonomies | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: NY 031386) |
| Enumeration Date | 2008-04-08 |
| Last Update Date | 2008-06-19 |