NPI | 1609538388 |
---|---|
Entity Type | Organization |
Authorized Contact | RENAN BUITRAGO President 917-574-3822 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist |
Additional Taxonomies | 1223P0300X Dentist, Periodontics |
1223P0700X Dentist, Prosthodontics | |
Enumeration Date | 2021-10-09 |
Last Update Date | 2021-10-09 |