| NPI | 1972775047 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARMEN SALCEDO President 212-304-4832 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NY 043079) |
| Enumeration Date | 2008-03-29 |
| Last Update Date | 2008-03-29 |