| NPI | 1477754851 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SILVESTRO IOMMAZZO President 718-969-1701 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: NY 044312) |
| Enumeration Date | 2007-05-31 |
| Last Update Date | 2007-11-13 |