| NPI | 1205069358 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SABRY M SHARARA Owner/President 347-481-6796 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Additional Taxonomies | 124Q00000X Dental Hygienist |
| 126800000X Dental Assistant | |
| Enumeration Date | 2009-08-24 |
| Last Update Date | 2009-08-24 |