| NPI | 1518172113 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUAN PABLO COLLADO President 212-568-3231 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NY 045828-1) |
| Enumeration Date | 2007-05-14 |
| Last Update Date | 2020-08-22 |