NPI | 1265852321 |
---|---|
Entity Type | Organization |
Authorized Contact | DELFINA ELIZABETH COLON Owner 917-519-6371 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NY 0442961) |
Enumeration Date | 2014-04-16 |
Last Update Date | 2014-04-16 |