| NPI | 1730351800 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CORAZON FLORES Dds/Vice President 845-452-6110 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NY 35977) |
| Enumeration Date | 2008-03-29 |
| Last Update Date | 2017-11-16 |