| NPI | 1467768762 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT B SOUFERIAN President 516-792-6952 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NY 050040) |
| Enumeration Date | 2010-08-24 |
| Last Update Date | 2010-08-24 |