NPI | 1790116473 |
---|---|
Entity Type | Organization |
Authorized Contact | GARY H FRANCO Dentist 718-444-8484 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: NY 041056) |
Additional Taxonomies | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies |
Enumeration Date | 2013-12-06 |
Last Update Date | 2013-12-06 |