| NPI | 1952777815 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THALIA MARIE ABRAHAO General Dentist 646-734-6158 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: FL DN20764) |
| Enumeration Date | 2015-08-14 |
| Last Update Date | 2015-08-14 |