| NPI | 1386845717 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL AZROLAN Dentist 516-365-7777 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NY 037669) |
| Enumeration Date | 2007-05-31 |
| Last Update Date | 2011-11-29 |