| NPI | 1598078693 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BERNARDO R GIL General Dentist 1718-367-6898 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NY 045134) |
| Enumeration Date | 2010-07-17 |
| Last Update Date | 2010-07-17 |