| 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 |