| NPI | 1033435821 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LILA NIKKHAH President 212-980-5899 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NY 048943) |
| Enumeration Date | 2010-04-19 |
| Last Update Date | 2010-04-19 |