| NPI | 1770803728 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RODERICK AMAN LUCENTE Dentist 212-777-1969 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NY 052771) |
| Enumeration Date | 2010-06-01 |
| Last Update Date | 2010-06-01 |