NPI | 1811153216 |
---|---|
Entity Type | Organization |
Authorized Contact | ANTONIO L. DEL VALLE President 917-450-6531 |
Organization Subpart ? | No |
Primary Taxonomy | 261QS0112X Clinic/Center, Oral and Maxillofacial Surgery (Licence: NY 048825-1) |
Enumeration Date | 2008-08-05 |
Last Update Date | 2008-08-05 |