| NPI | 1780870261 |
|---|---|
| Former Legal Business Name | QUISQUEYA DENTAL |
| Entity Type | Organization |
| Authorized Contact | MANUEL A HERNANDEZ Dentist 718-847-8807 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 122300000X Dentist (Licence: NY 051596-1) |
| Enumeration Date | 2007-09-19 |
| Last Update Date | 2008-10-07 |