| NPI | 1891128575 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIAS PIMENTEL President 917-365-0513 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: CT 010257) |
| Enumeration Date | 2013-08-16 |
| Last Update Date | 2014-04-04 |