| NPI | 1376749549 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GHAZWAN SAYED Sole Owner 718-761-6171 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0700X Dentist, Prosthodontics (Licence: NY 045614-1) |
| Enumeration Date | 2007-06-25 |
| Last Update Date | 2023-03-07 |