| NPI | 1639622020 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROCCO DIANTONIO Managing Member 718-948-4000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NY 0555071) |
| Enumeration Date | 2016-08-02 |
| Last Update Date | 2016-08-02 |