NPI | 1538353222 |
---|---|
Entity Type | Organization |
Authorized Contact | RUBEN DARIO MORONTA President 718-292-8966 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NY 048538) |
Enumeration Date | 2007-09-05 |
Last Update Date | 2007-09-05 |