NPI | 1487021309 |
---|---|
Entity Type | Organization |
Authorized Contact | LIANY FARINAS-HAN Dentist/Onwer 917-790-9905 |
Organization Subpart ? | No |
Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: NJ 22DI02509100) |
Enumeration Date | 2015-08-26 |
Last Update Date | 2015-08-26 |