| NPI | 1538367222 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROL POVEDA President 212-749-5000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NY 046108) |
| Enumeration Date | 2007-07-05 |
| Last Update Date | 2020-08-22 |