| NPI | 1578697066 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MERCEDES MOTA-MARTINEZ President 718-779-2214 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NY 043710) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: NY 040540) |
| 1223G0001X Dentist, General Practice (Licence: NY 047641) | |
| Enumeration Date | 2007-03-15 |
| Last Update Date | 2020-08-22 |