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 |