| NPI | 1154043867 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HANIFE CANAN BAYRAKTAROGLU Owner 737-747-2221 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0700X Dentist Prosthodontics |
| Additional Taxonomies | 1223G0001X Dentist General Practice |
| 1223P0300X Dentist Periodontics | |
| 1223S0112X Dentist Oral and Maxillofacial Surgery | |
| Enumeration Date | 2022-09-19 |
| Last Update Date | 2022-09-19 |