| NPI | 1922306067 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL R. DAGOSTINO CEO 718-209-8500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NY 049831-1) |
| Enumeration Date | 2011-03-13 |
| Last Update Date | 2011-03-13 |