| NPI | 1649054149 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YESSENIA ANABEL AUSTIN Owner / General Dentist 347-604-0563 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2023-08-24 |
| Last Update Date | 2023-08-24 |