| NPI | 1386921955 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YARITZA LUGO-ANDUJAR President 718-265-6262 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center Dental (Licence: NY 054264) |
| Enumeration Date | 2011-11-10 |
| Last Update Date | 2012-04-03 |