| NPI | 1295907913 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HUSSEIN Y ABDELWAHAB Owner 718-693-9811 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: NY 052285) |
| Additional Taxonomies | 1223P0300X Dentist, Periodontics (Licence: NY 049654) |
| Enumeration Date | 2008-04-02 |
| Last Update Date | 2008-04-02 |