| NPI | 1194599688 |
|---|---|
| Doing Business As | ROCKAWAY BEACH ORTHODONTICS |
| Entity Type | Organization |
| Authorized Contact | ISAAC MIZRAHI President & COO 646-413-2935 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Additional Taxonomies | 1223P0221X Dentist, Pediatric Dentistry |
| Enumeration Date | 2023-11-14 |
| Last Update Date | 2023-11-15 |