| NPI | 1053584409 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FARSHID ASSADERAGHI D.D.S 718-469-6077 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NY 050877) |
| Enumeration Date | 2008-04-07 |
| Last Update Date | 2008-04-07 |