NPI | 1790878411 |
---|---|
Entity Type | Organization |
Authorized Contact | GUILLERMO ISAAC TORRES President 914-631-2323 |
Organization Subpart ? | No |
Primary Taxonomy | 1223P0700X Dentist, Prosthodontics (Licence: NY 046758) |
Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: NY 047333) |
Enumeration Date | 2006-10-02 |
Last Update Date | 2008-10-01 |