| NPI | 1740504299 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ESPERANZA A. RODRIGUEZ President 718-364-7791 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NY 050326) |
| Enumeration Date | 2010-03-25 |
| Last Update Date | 2010-03-25 |