| NPI | 1649424045 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MOISE NAWLO Partner 212-780-0166 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: NY 049809) |
| Additional Taxonomies | 122300000X Dentist (Licence: NY 050606) |
| Enumeration Date | 2008-11-11 |
| Last Update Date | 2008-11-11 |