| NPI | 1821064049 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRANK DEGAETANO Dentist 718-356-1477 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NY 0268881) |
| Enumeration Date | 2006-02-27 |
| Last Update Date | 2008-07-15 |