| NPI | 1306972674 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SABEEH R KHAN President 516-378-1033 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: NY 0442721) |
| Enumeration Date | 2007-02-23 |
| Last Update Date | 2013-05-23 |