| NPI | 1568808830 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | FRANK V PERITORE Owner 718-349-2011 | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NY 040315-1) | 
| Enumeration Date | 2013-05-14 | 
| Last Update Date | 2013-05-14 |