| NPI | 1760809586 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PORFIRIO A NUNEZ President 212-795-3246 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NY 051424) |
| Enumeration Date | 2014-03-19 |
| Last Update Date | 2014-03-19 |