| NPI | 1730206350 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTONIO E. OLIVIERO Owner 516-825-8009 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NY 052985) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: NY 045959) |
| Enumeration Date | 2007-03-26 |
| Last Update Date | 2009-10-14 |