| NPI | 1598031262 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OLGA MIRIAM IGLESIAS President 718-614-0328 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 25301) |
| Enumeration Date | 2012-03-28 |
| Last Update Date | 2012-03-28 |