| NPI | 1275988644 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICHOLAS C. TUCCI Dentist / Owner 516-466-0053 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: NY 040740) |
| Enumeration Date | 2016-05-04 |
| Last Update Date | 2016-05-04 |