| NPI | 1073779112 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID TABAROKI Oral Surgeon 917-848-6311 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist Oral and Maxillofacial Surgery (Licence: NY 047690) |
| Additional Taxonomies | 1223S0112X Dentist Oral and Maxillofacial Surgery (Licence: NY 052330) |
| Enumeration Date | 2008-07-29 |
| Last Update Date | 2010-07-20 |