| NPI | 1821260712 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARMEN MIREYA RIJOS President 718-563-0303 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NY 045670) |
| Enumeration Date | 2008-03-31 |
| Last Update Date | 2008-03-31 |