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 |