| NPI | 1770977506 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SOPHIA MILITO Owner 718-622-7275 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Additional Taxonomies | 1223P0221X Dentist, Pediatric Dentistry |
| 1223P0300X Dentist, Periodontics | |
| 124Q00000X Dental Hygienist | |
| Enumeration Date | 2015-03-18 |
| Last Update Date | 2015-03-19 |