NPI | 1275033706 |
---|---|
Doing Business As | DENTAL365 PORT WASHINGTON |
Entity Type | Organization |
Authorized Contact | HIRO SORIANO Chief Insurance Officer 516-344-5746 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist |
Enumeration Date | 2018-02-21 |
Last Update Date | 2018-02-21 |