| NPI | 1922200633 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIA DE JESUS HERRERA President 718-205-4377 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NY 041976-1) |
| Enumeration Date | 2007-06-04 |
| Last Update Date | 2008-05-19 |