| NPI | 1104792076 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID ELSHROUNY Owner Dentist 347-922-8840 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Additional Taxonomies | 122300000X Dentist |
| Enumeration Date | 2025-10-16 |
| Last Update Date | 2025-10-16 |