| NPI | 1104131424 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALI JOHN JAZAYERI President 212-348-1177 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NY 053328) |
| Enumeration Date | 2010-08-11 |
| Last Update Date | 2010-08-11 |