| NPI | 1477162501 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MOHAMMED MAHDI Dr / Owner 203-969-4248 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2020-07-24 |
| Last Update Date | 2020-07-24 |