| NPI | 1407087075 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FREDA SEIFODDINI Dentist/Owner 212-737-1787 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NY 047925) |
| Enumeration Date | 2009-07-30 |
| Last Update Date | 2009-07-30 |