| NPI | 1477762375 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSE RAFAEL DE LEON President 212-228-2999 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NY 046096) |
| Enumeration Date | 2007-05-21 |
| Last Update Date | 2008-01-25 |