| NPI | 1669801577 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIA S. SALES CEO/General Dentist 718-424-8900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NY 054598) |
| Enumeration Date | 2013-11-01 |
| Last Update Date | 2013-11-01 |