| NPI | 1558533505 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DORIS NELLY LADINO-ORDONEZ Dentist 718-429-5550 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: NY 048850) |
| Enumeration Date | 2008-03-31 |
| Last Update Date | 2008-03-31 |