| 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 |