| NPI | 1720482755 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VANESSA MARTINEZ Office Manager 516-365-3535 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223P0700X Dentist, Prosthodontics (Licence: NY 035133-1) |
| Enumeration Date | 2014-10-20 |
| Last Update Date | 2014-10-20 |