| NPI | 1376765859 |
|---|---|
| Former Legal Business Name | JEFFREY CARRASQUILLO DMD |
| Entity Type | Organization |
| Authorized Contact | JEFFREY CARRASQUILLO President 718-261-0260 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NY 045010) |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2012-11-30 |