| NPI | 1144423054 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL HENRI RESHAD President 212-688-6163 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0300X Dentist, Periodontics (Licence: NY 046470-1) |
| Enumeration Date | 2007-06-07 |
| Last Update Date | 2020-08-22 |