| NPI | 1790957637 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIA DEL SOCORRO ACOSTA Owner 212-781-4373 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: NY 048018) |
| Enumeration Date | 2008-04-01 |
| Last Update Date | 2008-04-01 |