| NPI | 1053997361 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDWIN ZAGHI Owner 917-846-7655 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry |
| Additional Taxonomies | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2021-03-18 |
| Last Update Date | 2023-12-18 |