| NPI | 1124289921 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRANK MIRHAROON President 718-387-0953 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: NY 044266) |
| Enumeration Date | 2008-06-24 |
| Last Update Date | 2008-06-24 |