| NPI | 1992872873 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERNEST P LARIOS President Dentist 631-547-8800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NY 36747) |
| Enumeration Date | 2006-11-29 |
| Last Update Date | 2020-08-22 |