| NPI | 1376803924 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA ALLI-LAZZARA Owner/President 917-582-5042 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist Pediatric Dentistry (Licence: NY 046975) |
| Enumeration Date | 2012-05-16 |
| Last Update Date | 2022-06-20 |