NPI | 1164708665 |
---|---|
Entity Type | Organization |
Authorized Contact | SAAR AMRANI CEO 718-576-6999 |
Organization Subpart ? | No |
Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: NY 054408) |
Enumeration Date | 2011-10-27 |
Last Update Date | 2011-10-27 |