NPI | 1457510182 |
---|---|
Entity Type | Organization |
Authorized Contact | IVAN EDUARDO TERRERO President 917-796-7624 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: FL DN17477) |
Enumeration Date | 2008-06-06 |
Last Update Date | 2008-06-06 |