| NPI | 1861463366 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RUFINA LOUIS President 718-386-3288 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: 043062) |
| Additional Taxonomies | 261QD0000X Clinic/Center, Dental (Licence: 02310121) |
| Enumeration Date | 2006-02-01 |
| Last Update Date | 2012-12-28 |