| NPI | 1467531061 |
|---|---|
| Doing Business As | FAMILY DENTAL CENTER |
| Entity Type | Organization |
| Authorized Contact | BRENDA LEE MERCADO Office Manager 212-677-2510 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NY 046646) |
| Enumeration Date | 2006-11-03 |
| Last Update Date | 2020-08-22 |