| NPI | 1649796491 |
|---|---|
| Doing Business As | CENTRAL PARK DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | FRANK DICICCO Owner 212-486-6211 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice |
| Additional Taxonomies | 1223P0221X Dentist Pediatric Dentistry |
| 1223P0700X Dentist Prosthodontics | |
| Enumeration Date | 2017-08-14 |
| Last Update Date | 2022-07-21 |