| NPI | 1376131052 |
|---|---|
| Doing Business As | COSMETIC DENTAL IMAGE |
| Entity Type | Organization |
| Authorized Contact | HANETTE S GOMEZ Owner/Dentist 718-848-7878 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2021-01-07 |
| Last Update Date | 2021-01-07 |