| NPI | 1629233358 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTONIO L DEL VALLE Oral And Maxillofacial Surgeon 212-245-5801 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: NY 048825-1) |
| Enumeration Date | 2008-07-22 |
| Last Update Date | 2008-07-22 |