| NPI | 1710296249 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ISMARI ENEDINA LABRADA Sole Member 201-863-0426 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NJ 22DI02261701) |
| Enumeration Date | 2010-10-01 |
| Last Update Date | 2015-02-27 |