| 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 |