| NPI | 1598053373 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ARELYS SANTANA Dentist 718-458-1929 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NY 050897) |
| Enumeration Date | 2011-07-14 |
| Last Update Date | 2011-07-14 |