| NPI | 1134591613 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MOUSA I INNABI Dentist/Owner 914-327-4300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NY 057890) |
| Enumeration Date | 2015-10-23 |
| Last Update Date | 2015-10-23 |