| NPI | 1871758623 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SERVIO J. TUERO Sole Member 212-362-3993 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: NY 037962) |
| Enumeration Date | 2008-07-22 |
| Last Update Date | 2008-07-22 |