NPI | 1366811473 |
---|---|
Doing Business As | DANIEL PONCE, DDS |
Entity Type | Organization |
Authorized Contact | DANIEL PONCE Pediatric Dentist 646-234-6578 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: AZ 9153) |
Enumeration Date | 2015-09-18 |
Last Update Date | 2015-09-18 |