| NPI | 1467920686 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ESAM JUMANI Owner 917-544-1626 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice |
| Additional Taxonomies | 261QD0000X Clinic/Center Dental |
| Enumeration Date | 2018-11-06 |
| Last Update Date | 2025-04-09 |