| NPI | 1871769604 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SIXTO GUILLERMO TIGRERO Maniger 212-942-1945 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NY 043262) |
| Enumeration Date | 2008-05-01 |
| Last Update Date | 2008-05-01 |