| NPI | 1780806638 |
|---|---|
| Doing Business As | CCDI |
| Entity Type | Organization |
| Authorized Contact | MINE E CALDERON Dentist President 516-678-8690 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: NY 041073) |
| Additional Taxonomies | 122300000X Dentist (Licence: NY 045794) |
| Enumeration Date | 2007-05-02 |
| Last Update Date | 2008-05-13 |