NPI | 1053564948 |
---|---|
Entity Type | Organization |
Authorized Contact | EMANUEL MIZRAHI President 718-897-6666 |
Organization Subpart ? | No |
Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: NY 042835) |
Enumeration Date | 2008-10-23 |
Last Update Date | 2008-10-23 |