| NPI | 1477915734 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEXANDER MOQATTASH President 914-310-1793 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 64825) |
| Enumeration Date | 2016-03-25 |
| Last Update Date | 2016-03-25 |