| NPI | 1275830473 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAHIRA KORTAM Dr./Orthodontist 347-761-7199 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center Dental (Licence: VA 0401412813) |
| Enumeration Date | 2011-02-24 |
| Last Update Date | 2011-02-24 |