| NPI | 1154610160 |
|---|---|
| Doing Business As | TOOTH |
| Entity Type | Organization |
| Authorized Contact | AHMAD BARAK Manager 718-886-6843 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NY 052876) |
| Enumeration Date | 2011-03-30 |
| Last Update Date | 2011-06-01 |