| NPI | 1588877591 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LIBIA REBECA JIMENEZ Dds 212-368-9532 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: NY 045307) |
| Enumeration Date | 2007-05-07 |
| Last Update Date | 2007-08-29 |