| NPI | 1285997890 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RUBEN D CUETO President 718-455-7600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: NY 049728-1) |
| Additional Taxonomies | 122300000X Dentist (Licence: NY 31359) |
| Enumeration Date | 2012-06-19 |
| Last Update Date | 2012-06-19 |