| NPI | 1962664631 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IVETTE A FERREIRA Owner 718-651-3311 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NY 050729-1) |
| Enumeration Date | 2008-06-25 |
| Last Update Date | 2012-06-19 |