| NPI | 1386213205 |
|---|---|
| Doing Business As | CREATIVE DENTAL OF QUEENS |
| Entity Type | Organization |
| Authorized Contact | WILSON MOROCHO Dentist 718-459-4700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2021-06-24 |
| Last Update Date | 2021-06-24 |