NPI | 1790325884 |
---|---|
Other Name | BONITA SONRISA DENTAL MSO |
Entity Type | Organization |
Authorized Contact | ALEJANDRO WILLIAMS President 718-294-3725 |
Organization Subpart ? | No |
Primary Taxonomy | 1223D0001X Dentist, Dental Public Health |
Enumeration Date | 2020-01-07 |
Last Update Date | 2022-11-11 |