| NPI | 1659587020 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANILO GABRIEL YBANEZ Owner 609-465-3930 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NJ 22DI02261000) |
| Enumeration Date | 2007-05-15 |
| Last Update Date | 2020-08-22 |