| NPI | 1174769970 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK MEHRDAD HAGIGI President 347-420-9490 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NY 053887-1) |
| Enumeration Date | 2008-12-29 |
| Last Update Date | 2008-12-29 |