| NPI | 1780132670 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LOREN BUONOCORE President 914-960-0486 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist Pediatric Dentistry (Licence: NY 050738) |
| Enumeration Date | 2016-09-20 |
| Last Update Date | 2016-09-20 |