| NPI | 1013172972 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAREK M. ASHMAWY Owner 646-250-6333 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center Dental (Licence: VA 0401411500) |
| Enumeration Date | 2008-07-21 |
| Last Update Date | 2008-07-21 |