| NPI | 1881099620 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAREN AVILA Owner/Oral Surgeon 914-236-3136 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: NY 046692) |
| Enumeration Date | 2014-10-22 |
| Last Update Date | 2014-10-22 |