| NPI | 1184769549 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ZOHREH RASOULI President 718-822-7645 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NY 041061) |
| Enumeration Date | 2007-02-21 |
| Last Update Date | 2020-08-22 |