| NPI | 1265863518 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GABRIELA VATAFU President 646-752-2005 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CT 009515) |
| Enumeration Date | 2013-12-11 |
| Last Update Date | 2021-12-02 |