| NPI | 1063871374 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SIMON CHEIRIF President 718-459-7900 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223X0400X Dentist Orthodontics and Dentofacial Orthopedics |
| Additional Taxonomies | 1223P0221X Dentist Pediatric Dentistry |
| Enumeration Date | 2016-02-15 |
| Last Update Date | 2016-02-15 |