| NPI | 1043798168 |
|---|---|
| Former Legal Business Name | MICHAEL YANNETTI |
| Entity Type | Organization |
| Authorized Contact | AHMED HAMADA IBRAHIM Owner 857-540-0135 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: NH 04431) |
| Enumeration Date | 2018-07-31 |
| Last Update Date | 2018-07-31 |