| NPI | 1821637497 |
|---|---|
| Doing Business As | LIDA DENTAL |
| Entity Type | Organization |
| Authorized Contact | LIDA C BAQUERO-BARRENECHE Owner 718-357-5545 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2019-12-31 |
| Last Update Date | 2019-12-31 |