| NPI | 1871618512 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID SCOTT TARICA Owner 212-564-8164 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: NY 037532) |
| Enumeration Date | 2007-03-20 |
| Last Update Date | 2020-08-22 |