| NPI | 1386063105 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PASQUALE J MALPESO Owner 212-838-0090 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: NY 0386071) |
| Enumeration Date | 2014-04-09 |
| Last Update Date | 2014-04-09 |