NPI | 1487192340 |
---|---|
Doing Business As | VIDA DENTAL SPA |
Entity Type | Organization |
Authorized Contact | MARIA TERESA IOANNOU Owner 917-842-9807 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: NY 050794) |
Enumeration Date | 2017-02-10 |
Last Update Date | 2017-02-10 |