NPI | 1699954461 |
---|---|
Entity Type | Organization |
Authorized Contact | MIRIAM BONET President/Owner 718-827-2554 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NY 042827) |
Enumeration Date | 2007-10-30 |
Last Update Date | 2007-10-30 |