| NPI | 1770819286 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTONIO DEL VALLE Oral Surgeon 917-450-6531 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QS0112X Clinic/Center, Oral and Maxillofacial Surgery (Licence: NY 048825) |
| Enumeration Date | 2009-10-19 |
| Last Update Date | 2010-08-24 |