| NPI | 1659714830 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RUDY FINELLI Production Manager 212-731-7650 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: NY 041723) |
| Additional Taxonomies | 122300000X Dentist (Licence: NY 055196) |
| 122300000X Dentist (Licence: NY 035385) | |
| 122300000X Dentist (Licence: NY 055649) | |
| 1223P0221X Dentist, Pediatric Dentistry | |
| 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: NY 033704) | |
| 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: NY 027392) | |
| 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics | |
| Enumeration Date | 2013-04-08 |
| Last Update Date | 2013-04-08 |