| NPI | 1568636603 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL DAGOSTINO CEO 718-209-8500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NY 049832) |
| Enumeration Date | 2008-04-19 |
| Last Update Date | 2008-04-19 |