| NPI | 1841314010 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACINTO ALONZO MARTINEZ Owner 212-866-1313 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NY 046959) |
| Enumeration Date | 2007-03-16 |
| Last Update Date | 2020-08-22 |