| NPI | 1780748095 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES J GROSSO President 718-843-5544 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NY 032805) |
| Enumeration Date | 2006-12-20 |
| Last Update Date | 2020-08-22 |