| NPI | 1255538120 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAHROUKH YAGHOUBIAN President 718-293-8005 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NY 045772) |
| Enumeration Date | 2007-07-02 |
| Last Update Date | 2020-08-22 |