NPI | 1780822783 |
---|---|
Entity Type | Organization |
Authorized Contact | PATRICIA I. JUAREZ Pediatric Dentist 631-670-6035 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: NY 049452-1) |
Enumeration Date | 2009-01-29 |
Last Update Date | 2009-01-29 |