| NPI | 1487333282 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GEORGE RIZKALLA President 347-977-3608 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Additional Taxonomies | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2023-07-18 |
| Last Update Date | 2024-03-13 |