| NPI | 1164732392 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADAM SHOUKRY Owner/C.E.O. 516-763-4500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Additional Taxonomies | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2010-10-21 |
| Last Update Date | 2024-02-16 |