| NPI | 1427066208 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN LUCIAN SANTOPOLO Owner 516-374-3663 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: NY 0316031) |
| Enumeration Date | 2006-08-04 |
| Last Update Date | 2020-08-22 |